Family therapy session
Facility: Wesley Medical Center
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $127
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.70x 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 | $127 | 70% |
Consumer Guidance & Cost Commentary
For the procedure "Family therapy session" at Wesley Medical Center in Wichita, KS, the negotiated rate with Blue Cross Blue Shield is $127.00, which aligns exactly with the low and high ends of the reported range for this payer. While the facility is an Acute Care Hospital with a Proprietary ownership structure, the data does not provide specific cash or median paid amounts for this service, so a direct comparison to state or county cash averages cannot be made. However, patients should be aware that cash-pay options can sometimes be more affordable than insurance negotiated rates if the patient's deductible has not yet been met or if the insurance allowed amount exceeds the cash price. It is always advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment.
This service is benchmarked against Medicare, where the allowed amount is $181.34. The facility's negotiated rate of $127.00 is 70% of the Medicare amount, indicating a rate that is lower than the federal baseline. Because commercial negotiated rates often include administrative overhead and contract dynamics that can inflate prices relative to the true cost of care, comparing this rate to the Medicare benchmark provides a clearer picture of fair pricing than looking at the hospital's full chargemaster list. If you receive a bill that exceeds these figures, it is recommended to request an itemized billing audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. Additionally, if you are concerned about balance billing, remember that the No Surprises Act protects patients from unexpected out-of-network charges for emergency