Family therapy session
Facility: Overland Park Reg Med Ctr
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $111
- Cash Discount Price: $302
- vs. Medicare Baseline: 0.61x 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 | $39 - $130 | 22% |
| Ambetter / Centene | $56 | 31% |
| Oscar | $57 | 31% |
| Nhc Advantage | $57 | 31% |
| Healthyblue | $60 | 33% |
| Wppa Providrs Care Network | $60 | 33% |
| Cigna | $75 - $111 | 41% |
| United | $76 - $137 | 42% |
| Aetna | $90 - $154 | 50% |
| Universal Healthcare | $106 | 58% |
| Coventry | $121 | 67% |
| Coventry Kc Mo | $124 | 68% |
| College Park Family Care Center | $130 | 72% |
| Home State Health Plan | $144 | 79% |
| Oha Network | $151 | 83% |
| Multiplan | $160 - $241 | 88% |
| Corvel Corporation | $196 | 108% |
| Triwest Health Alliance | $226 | 125% |
| Cco, Inc. | $226 | 125% |
| Focus Healthcare Mgmt, Inc | $226 | 125% |
Consumer Guidance & Cost Commentary
For the CPT code 90847 representing a family therapy session at Overland Park Reg Med Ctr, the cash price is $302.00. This amount matches the facility's cash median and is significantly lower than the negotiated rates charged to in-network insurance plans, which range from $39 to $241 depending on the carrier. Notably, this cash price is also lower than the Medicare benchmark of $181.34 when adjusted for the facility's specific rate structure, suggesting that for patients with high-deductible plans, paying out-of-pocket may be the most cost-effective option compared to relying on insurance, which often results in higher allowed amounts due to administrative overhead. Patients should verify if their specific plan has a deductible that would otherwise require them to pay the full negotiated rate, as the cash price avoids these potential out-of-pocket maximums.
To ensure you are receiving the best possible rate, it is recommended to contact the facility directly to inquire about self-pay or prompt-pay discounts, which can further reduce the $302.00 cash price. While the facility is an acute care hospital in Overland Park, KS, with a facility rating of 4, the pricing data indicates that the cash rate is competitive against the state average. If you have already received a bill from an out-of-network provider or a summary invoice, you should request a full itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. Additionally, be aware of federal protections under the No Surprises Act, which may prevent balance billing for emergency or non-emergency services at in-network facilities, and do not sign away