Family therapy session
Facility: University Of Kansas Hospital
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $246
- Cash Discount Price: $78
- vs. Medicare Baseline: 1.36x 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 |
|---|---|---|
| Larned State Hospital [503200090] | $115 | 63% |
| Hchsync Centrus Health Direct [503999916] | $117 - $136 | 65% |
| Blue Cross Blue Shield | $150 - $299 | 83% |
| Alt Theramatrix [5032000967] | $161 | 89% |
| Health Plan Inc [503999941] | $183 | 101% |
| Cigna | $194 - $312 | 107% |
| Tricare | $195 | 108% |
| Humana | $195 | 108% |
| Accarent Health [503999034] | $195 | 108% |
| Alt Carelon Behavioral Health [503200905] | $195 | 108% |
| Coventry [503200022] | $201 - $264 | 111% |
| Coresource [503200089] | $201 | 111% |
| Meritain Health [503200039] | $201 - $328 | 111% |
| Aetna | $201 - $264 | 111% |
| National Assn Letter Carriers [503200019] | $215 | 119% |
| Php [503200005] | $234 - $288 | 129% |
| Allied National [503999937] | $234 | 129% |
| Healthlink [503200007] | $236 - $288 | 130% |
| Inter-Americas Insurance [503999032] | $236 | 130% |
| Alt Wppa [5032000964] | $236 | 130% |
| Med-Pay [503200040] | $236 | 130% |
| Cerner [503200038] | $236 | 130% |
| Geha [503200036] | $236 | 130% |
| Alt Coventry Advantra Mhnet [50311260] | $238 | 131% |
| Alt Coventry Mhnet [503200030] | $238 | 131% |
| Mh Net [503999024] | $238 | 131% |
| First Health [5032000110] | $257 | 142% |
| Aha-Healthcare Preferred [503200050] | $257 | 142% |
| Alt Meritain Health [503999911] | $264 | 146% |
| Coeur Plan Services [503301517] | $273 | 151% |
| Consolidated Billing [50311256] | $273 | 151% |
| Correct Care Solutions [50311253] | $273 | 151% |
| Ascension Living Hope [503201517] | $273 | 151% |
| Orscheln Industries [503201608] | $292 | 161% |
| Alt Lucent Health Solutions [503202603] | $299 | 165% |
| Alt Lineco [5032000976] | $299 | 165% |
| Empire Plan/Nyship [503200705] | $299 | 165% |
| Century Health Solutions [503200054] | $312 | 172% |
| Point Comfort Underwriters [503200018] | $312 | 172% |
| Quiktrip [5032000412] | $312 | 172% |
| Triwest [503201703] | $312 | 172% |
| Wppa [503200056] | $328 | 181% |
| Three Rivers Provider Network [503999029] | $351 | 194% |
| Usa Managed Care [503999030] | $351 | 194% |
| Sanford Health Plan [503999027] | $351 | 194% |
| Employers Health Network [503999025] | $351 | 194% |
| Plan Care America [503999026] | $351 | 194% |
| Workers Comp [503999901] | $370 | 204% |
Consumer Guidance & Cost Commentary
For a family therapy session (CPT 90847) at the University of Kansas Hospital, the cash price is $78.00, which is significantly lower than the facility's median negotiated rate of $246.00 and the median paid amount of $151.00. While the facility's negotiated rates range from $115 to $370 across 48 different payers, the cash price offers a substantial alternative for patients without insurance or those with high-deductible plans. It is important to note that commercial insurance rates often include administrative overhead and contract markups, meaning the cash price can be the most economical option if your insurance negotiated rate exceeds $78.00. Patients should always ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final cost by bypassing the administrative fees associated with insurance billing cycles.
When evaluating the cost of this service, it is crucial to compare rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare reimbursement rate for this code is $181.34, and the facility's negotiated rates average 1.4 times the Medicare amount. Using the Medicare rate as a baseline reveals that while some commercial plans pay up to 1.8 times the Medicare rate, the cash price of $78.00 represents a fair market value that aligns more closely with the true cost of care. To avoid unexpected charges, patients should request an itemized bill to ensure no unbundled codes or services not rendered are included, and they should verify their deductible status before relying on insurance to cover the