CMS Price Transparency Data

Family therapy session

Facility: The Women's Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $131
Cash Discount Price: $83
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Family therapy session at The Women's Hospital is $131. 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 0.72x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $131 (72%)

Cash: $83 (46% of Medicare)

Ins. Median: $131 (72% 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
Amish	$57 - $83	31%
Aetna	$70 - $146	39%
Blue Cross Blue Shield	$70 - $521	39%
Meridian Health Il	$70 - $142	39%
Molina Il	$70 - $142	39%
Humana	$78 - $142	43%
Passport Molina Ky	$78	43%
UnitedHealthcare	$78 - $192	43%
Wellcare Ky	$78 - $142	43%
Self Pay	$83	46%
Caresource Hip	$98	54%
Caresource In	$98	54%
Mdwise Hip	$98	54%
Mhs Behavioral	$98	54%
Caresource	$101 - $142	56%
Iu Health	$101 - $142	56%
Mhs	$101 - $142	56%
Molina Ky	$101 - $142	56%
Molina Ky Dual	$101 - $142	56%
Ambetter / Centene	$116 - $220	64%
Immergrun	$117	65%
Encorecombined	$130	72%
Encoreprime	$130	72%
Caresource Marketplace (Just4Me)	$131 - $213	72%
Patoka Valley Health Care (80/20 Plan)	$131	72%
Patoka Valley Health Care (90/10 Plan)	$131	72%
Hst	$136 - $213	75%
Alliance Coal	$139	77%
Allied National/Zelis - Freedom Plan	$141 - $348	78%
Center Care	$142	78%
Cigna	$146	81%
Claimdoc	$146 - $206	81%
Claritev (Formerly Phcs/Mulitplan)	$146	81%
First Health/Coventry	$146	81%
Healthlink	$146	81%
Sagamore	$146	81%
Chamber Care	$147	81%
One Care	$151	83%
Hope Trust	$161 - $234	89%
Noncontracted	$161 - $227	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 The Women's Hospital 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.