CMS Price Transparency Data

Family therapy session

Facility: Wabash General Hospital 1

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $237
Cash Discount Price: $300
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Wabash General Hospital 1 is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.31x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.

Cash / Self-Pay

$300

Average discount available for prompt cash payment at this facility.

Insurance Median

$237

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: $300 (165%)

Insurance Median: $237 (131%)

Cash: $300 (165% of Medicare)

Ins. Median: $237 (131% 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	$82 - $407	45%
UnitedHealthcare	$86 - $258	47%
Health Alliance Mcr Adv - All Plans	$88 - $102	49%
Aetna	$184 - $407	101%
Healthlink Hmo	$195 - $226	108%
Cigna	$209 - $242	115%
Encore Combined Ip/Op Only	$209 - $242	115%
Hope Trust - All Plans	$209 - $242	115%
Healthlink Ppo - All Other Plans	$223 - $258	123%
Phcs - All Plans	$223 - $258	123%
Health Smart - All Plans	$237 - $274	131%
Hfn - All Plans	$237 - $274	131%
Multiplan - All Plans	$237 - $274	131%
Siho Network - All Plans	$237 - $274	131%
Encore Health Network Ip/Op Only - All Other Plans	$251 - $290	138%
Meridian Mcaid - All Plans	$407	224%
Molina Mcaid - All Plans	$407	224%

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 $300.
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 Wabash General Hospital 1 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.