Family therapy session
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $212
- Cash Discount Price: $155
- vs. Medicare Baseline: 1.17x 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 |
|---|---|---|
| Black Lung [6055] | $212 | 117% |
| Web Tpa [2115] | $212 | 117% |
| Lucent Health [6000] | $212 | 117% |
| Aetna | $212 | 117% |
| Blue Cross Blue Shield | $212 | 117% |
| Hooray Health [8000] | $212 | 117% |
| Oncology Patient Assistance Programs [2295] | $212 | 117% |
| Healthcare Highways [2210] | $212 | 117% |
| 1199 Seiu Benefit Fund [3505] | $347 | 191% |
| Enablecomp [1350] | $361 | 199% |
| Worker'S Comp [2125] | $361 | 199% |
| Ks Disability Determination [6090] | $516 | 285% |
Consumer Guidance & Cost Commentary
For the CPT code 90847, representing a family therapy session at the University Of Kansas Health System - St Francis Campus in Topeka, the facility's cash median price is $155.00, which is significantly lower than the negotiated rates of $212.00 paid by most insurance plans. While the gross charge listed is $516.00, the actual amount paid by insurers averages $212.00, and the Medicare benchmark for this service is $181.34. This indicates that the facility's cash price is roughly 85% of the Medicare rate, whereas many commercial negotiated rates exceed 100% of the Medicare benchmark. Patients with high-deductible plans or those seeking to minimize out-of-pocket costs may find the cash price more advantageous than the insurance negotiated rate, provided they qualify for the facility's self-pay or prompt-pay discounts.
The facility's pricing structure reflects a voluntary non-profit ownership model, with 12 distinct payers including major carriers like Aetna and Blue Cross Blue Shield, as well as specific programs such as Oncology Patient Assistance Programs. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before scheduling. To ensure transparency and avoid unexpected costs, consumers are encouraged to request a full itemized bill that breaks down every CPT code and unit cost, rather than accepting a summary invoice. If errors or unbundled charges are found, a formal written audit dispute should be sent to the billing supervisor to resolve the discrepancy before payment.