CMS Price Transparency Data

Family therapy session

Facility: Deaconess Illinois Crossroads

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $162
Cash Discount Price: $83
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Deaconess Illinois Crossroads is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.89x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $83 (46%)

Insurance Median: $162 (89%)

Cash: $83 (46% of Medicare)

Ins. Median: $162 (89% 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
Aetna	$70 - $186	39%
Blue Cross Blue Shield	$70 - $167	39%
Meridian Health Plan	$70 - $167	39%
Molina Healthcare Of Illinois	$70 - $169	39%
Wellcare	$70 - $167	39%
Self-Pay	$83	46%
Cigna	$92	51%
Humana	$100 - $184	55%
Mytru Advantage	$100 - $167	55%
Umwa	$100 - $167	55%
UnitedHealthcare	$100 - $167	55%
Healthlink	$133 - $143	73%
Alliance Coal	$138 - $276	76%
Deaconess Onecare	$150	83%
Alter-Net Medical Services, Inc.	$160 - $477	88%
Noncontracted	$160 - $268	88%
Care Improvement Plus	$171	94%
Prime Health Services	$177	98%
Guardian Resources, Inc.	$198	109%
Healthcare'S Finest Network (Hfn)	$201	111%
Medicalcontrol Network Solutions	$201	111%
National Provider Network	$201	111%
Three Rivers Provider Network	$205	113%
Beech Street	$208	115%
Hope Trust	$477	263%

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 $83.
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 Deaconess Illinois Crossroads 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.