CMS Price Transparency Data

Family therapy session

Facility: Palos Community Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $304
Cash Discount Price: $304
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Palos Community Hospital is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.68x the Medicare baseline. Located in 12251 South 80Th Avenue, Palos Heights, IL.

Cash / Self-Pay

$304

Average discount available for prompt cash payment at this facility.

Insurance Median

$304

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $304 (168%)

Insurance Median: $304 (168%)

Cash: $304 (168% of Medicare)

Ins. Median: $304 (168% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$69 - $434	38%
Cigna	$81 - $434	45%
Aetna	$93 - $434	51%
UnitedHealthcare	$197 - $434	109%
Healthlink [125]	$217 - $434	120%
First Health Plan [6034]	$247 - $326	136%
The Alliance [1703]	$279	154%
Multiplan/Phcs [142]	$304 - $434	168%
Compsych [112]	$326	180%
Beechstreet [176]	$347	191%
Health'S Finest Network [126]	$369	203%
Galaxy Health Network [220]	$434	239%
Global Excel [1712]	$434	239%
Health Alliance [181]	$434	239%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $304.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Palos Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.