CMS Price Transparency Data

Family therapy session

Facility: Hamilton Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $331
  • Cash Discount Price: $366
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Hamilton Memorial Hospital is $331. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $366. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.83x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.
Cash / Self-Pay
$366

Average discount available for prompt cash payment at this facility.

Insurance Median
$331

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: $366 (202%)
Insurance Median: $331 (183%)
Cash: $366 (202% of Medicare)
Ins. Median: $331 (183% 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
Aetna $109 - $388 60%
Blue Cross Blue Shield $109 - $392 60%
Health Alliance $109 - $345 60%
Medicare (plans) $109 - $172 60%
UnitedHealthcare $109 - $309 60%
Wellcare $109 - $172 60%
Medicaid / KanCare $160 - $172 88%
Humana $172 95%
Alliance Coal $302 167%
Healthscope $302 167%
Wellfirst (Ssmhic) $302 167%
Hope Trust $323 178%
Cigna $338 186%
Hfn, Inc $345 - $388 190%
Healthlink $366 - $388 202%
Multiplan $366 202%
Siho $388 214%
Three Rivers Provider $388 214%
Healthsmart $409 226%
Stratose $409 226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 S Marshall Avenue, McLeansboro, IL 62859
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals