CMS Price Transparency Data

Family therapy session

Facility: Clay County Hospital

Billing Code: 90847 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$184
about 1.0× the $181 Medicare rate · typically $105–$348
modeled estimate · not a bill or quote
What this hospital charges insurers
$166
About the fair price
about $18 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $184 This hospital $166 Cash price $376 Hospital's list price $376

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $166

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Family therapy session is about $184 (about 1.0× the $181 Medicare rate). Clay County Hospital charges insurers about $166, or about $376 in cash — about the fair price. Located in Flora, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $102 - $301 56%
Blue Cross Blue Shieldmajor $206 - $276 114%
Aetnamajor $102 - $297 56%
Cignamajor $301 166%
Ambetter (Centene) $102 56%
HealthLink $244 - $301 135%
Medica $102 - $233 56%
Meridian $102 56%
WellCare $102 56%
+ 1 smaller / regional plan $357

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Facility Profile & Credentials

  • Address: 911 Stacy Burk Dr, Flora, IL 62839
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals