Family therapy session
Facility: Salina Regional Health Center
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $226
- Cash Discount Price: $223
- vs. Medicare Baseline: 1.25x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $40 - $140 | 22% |
| Preferred Phsic | $151 - $231 | 83% |
| Preferred Healthcare - All Other Plans | $203 - $312 | 112% |
| Multiplan (Mpi)-All Plans | $226 - $346 | 125% |
| Aetna | $226 - $346 | 125% |
| Providers Care (Wppa)-All Plans | $226 - $346 | 125% |
| Cigna | $226 - $346 | 125% |
Consumer Guidance & Cost Commentary
For a family therapy session (CPT 90847) at Salina Regional Health Center in Salina, KS, the cash median price is $223.00, which is lower than the facility's negotiated rates of $226.00. While the facility is a voluntary non-profit acute care hospital, patients should be aware that commercial insurance plans often pay higher amounts than cash prices due to administrative overhead and contract structures. For instance, Blue Cross Blue Shield plans negotiate between $40 and $140, while Preferred Phsic plans range from $151 to $231. If you have a high-deductible plan, paying the cash price of $223.00 upfront might be more cost-effective than relying on insurance, especially since the negotiated rates for many payers exceed the cash rate. It is always advisable to ask the hospital directly about self-pay or prompt-pay discounts before scheduling your visit to ensure you receive the best possible rate.
When evaluating this charge, it is important to compare the facility's pricing against the Medicare benchmark rather than the gross chargemaster. The Medicare amount for this service is $181.34, and the facility's negotiated rate of $226.00 represents a markup of 1.2 times the Medicare rate. This aligns with fair pricing standards, which typically range from 120% to 150% of the Medicare amount, whereas commercial rates can sometimes average 200% to 300% of Medicare. To avoid unexpected costs, patients should request an itemized bill to verify that no unbundled codes or services not rendered are included, as