CMS Price Transparency Data

Family therapy session

Facility: Memorial Hospital and Health Care Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $146
Cash Discount Price: $83
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Memorial Hospital and Health Care Center is $146. 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 0.81x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $146 (81%)

Cash: $83 (46% of Medicare)

Ins. Median: $146 (81% 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	$84 - $209	46%
Mdwise	$98	54%
Mhs Hoosier Care Connect	$98	54%
UnitedHealthcare	$98 - $505	54%
Aetna	$101 - $168	56%
Caresource In Marketplace	$101 - $210	56%
Humana	$101 - $168	56%
Tricare	$101 - $143	56%
Patoka Valley	$105	58%
Encore	$115	63%
Encore Elite +	$115 - $404	63%
Immergrun	$121	67%
Ambetter / Centene	$131 - $219	72%
Cigna	$146	81%
Sagamore	$146	81%
Chamber Care	$149	82%
Onecare	$151	83%
Siho	$151	83%
Noncontracted	$161 - $269	89%

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 Memorial Hospital and Health Care Center 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.