Family therapy session
Facility: Centura St. Catherine-Dodge City
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $101
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.56x 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 | $101 - $150 | 56% |
| Cigna | $101 | 56% |
| Humana | $101 | 56% |
| Aetna | $101 | 56% |
| Kaiser | $101 | 56% |
| Kansas Health | $101 | 56% |
| Medicare (plans) | $101 | 56% |
Consumer Guidance & Cost Commentary
For the CPT code 90847, representing a family therapy session at Centura St. Catherine-Dodge City in Dodge City, KS, the facility's negotiated rates with major insurers like Blue Cross Blue Shield, Cigna, and Humana are consistently $101. This amount aligns exactly with the state-wide average for this service. While commercial insurance contracts often result in higher costs due to administrative overhead, the facility's rate here matches the baseline expected for in-network care. It is important to note that cash payments can sometimes be more economical for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price, though current data does not list a specific cash median for this procedure.
The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $181.34 for this service. The negotiated rate of $101 is approximately 44% of the Medicare amount, indicating a rate structure that is significantly lower than the typical commercial markup seen in many markets where rates can reach 200% to 300% of Medicare. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, they should still request a detailed itemized bill to ensure no unbundled charges or services not rendered are included. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can offer a fee reduction of 20% to 50% for upfront payment, bypassing the administrative costs associated with insurance claims processing.