CMS Price Transparency Data

Family therapy session

Facility: Gibson General Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $113
Cash Discount Price: $83
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Gibson General Hospital is $113. 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 0.62x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $113 (62%)

Cash: $83 (46% of Medicare)

Ins. Median: $113 (62% 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	$70 - $101	39%
Medicaid / KanCare	$70	39%
Meridiancare (Il)	$70	39%
Meridianhealth (Il)	$70	39%
Ky Racing Health & Welfare Fund	$83	46%
Self-Pay	$83	46%
Caresource	$98	54%
Mdwise Plans	$98	54%
Mhs	$98	54%
UnitedHealthcare	$98 - $192	54%
Aetna	$101 - $146	56%
Caresource Just For Me	$101	56%
Medicare (plans)	$101	56%
Meridiancomplete (Il)	$101	56%
Mytruadvantage	$101	56%
Va Ccn	$101	56%
Ambetter / Centene	$126	69%
Encircle/Encore Combined	$130	72%
Encircle/Encore Prime	$130	72%
Caresource In Marketplace	$131	72%
Alliance Coal	$141	78%
Claimdoc	$141	78%
Cigna	$146	81%
First Health	$146	81%
Healthlink Hmo	$146	81%
Healthlink Ppo	$146	81%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+)	$146	81%
Chambercare	$149	82%
Deaconess Onecare	$151 - $344	83%
Hopetrust	$151	83%
Hstechnology	$151	83%
Noncontracted	$161	89%
Gibson County Sheriff	$201	111%
Integrated Health	$212	117%
Principal Health Care	$212	117%

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 Gibson General 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.