CMS Price Transparency Data

Family therapy session

Facility: Saint Joseph Hospital-Elgin

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $189
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Saint Joseph Hospital-Elgin is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.04x the Medicare baseline. Located in 77 N Airlite Street, Elgin, IL.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

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: $189 (104%)
Insurance Median: $189 (104%)
Cash: $189 (104% of Medicare)
Ins. Median: $189 (104% 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.

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
Ravenswood Physicians Associates Ipa $104 - $189 57%
Resurrection Physicians Provider Group Ipa $104 - $189 57%
Aetna $146 - $199 81%
Blue Cross Blue Shield $146 - $265 81%
Humana $146 - $208 81%
Medicaid / KanCare $146 - $153 81%
Standard Eapg Logic - Contracts $146 81%
Meridian $153 - $199 84%
Molina $153 - $284 84%
Celtic (Wellcare) $189 104%
Cigna $189 104%
Clear Spring Health Of Illinois $189 104%
Devoted Health $189 104%
Essential Health Partners $189 - $218 104%
Longevity Health Plan Of Illinois $189 104%
Medicare (plans) $189 104%
Self-Pay $189 104%
Tricare $189 104%
United Behavioral $189 104%
UnitedHealthcare $189 - $418 104%
Comppsych $195 108%
Zing Health Provider Network $195 108%
Providers Partners Health Plan (Pphp) $199 110%
Harmony Health Plan $201 111%
Access Community Health Network $227 125%
Clifton Health Systems $293 162%
Ambetter / Centene $307 169%
Health Link Inc $900 496%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 77 N Airlite Street, Elgin, IL 60123
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals