CMS Price Transparency Data

Family therapy session

Facility: Elkhart General Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $337
  • Cash Discount Price: $324
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Elkhart General Hospital is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $324. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.86x the Medicare baseline. Located in 600 E Blvd, Elkhart, IN.
Cash / Self-Pay
$324

Average discount available for prompt cash payment at this facility.

Insurance Median
$337

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: $324 (179%)
Insurance Median: $337 (186%)
Cash: $324 (179% of Medicare)
Ins. Median: $337 (186% 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
Mclaren (Mi $90 50%
UnitedHealthcare $90 - $335 50%
Devoted Healthcare $100 - $177 55%
Blue Cross Blue Shield $104 - $502 57%
Aetna $168 - $337 93%
Humana $168 - $349 93%
Pace $168 93%
Plain Church $252 - $398 139%
Caresource $269 - $647 148%
Cha $299 - $388 165%
Immergrun $299 - $398 165%
Mhs $303 - $647 167%
Php $324 - $349 179%
Cigna $359 - $378 198%
Multiplan $359 198%
Signature $364 201%
Encore $369 203%
Heartland $498 275%
Mdwise $647 357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 E Blvd, Elkhart, IN 46514
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals