Family therapy session
Facility: Wichita County Health Center
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $96
- Cash Discount Price: $84
- vs. Medicare Baseline: 0.53x 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 |
|---|---|---|
| Medicaid / KanCare | $87 | 48% |
| UnitedHealthcare | $105 | 58% |
Consumer Guidance & Cost Commentary
For this family therapy session at Wichita County Health Center in Leoti, KS, the negotiated rates for Medicaid and UnitedHealthcare are identical to the facility's cash price of $84.00, meaning there is no financial advantage to using insurance for this specific service. While the Medicare benchmark for this procedure is $181.34, the cash and negotiated rates are significantly lower, reflecting the facility's status as a government-owned Critical Access Hospital. Patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, as the negotiated rate here does not exceed the cash amount. It is always advisable to confirm with the hospital whether "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can further reduce the final bill.
The data indicates that the facility's pricing aligns closely with the specific payer rates provided for this service, with no variation between the low and high ends of the reported range. Since the facility is government-owned, the pricing structure is likely standardized rather than subject to the complex negotiations seen in private facilities. Consumers should be aware that while balance billing is generally restricted for in-network services at this facility, it is crucial to request an itemized bill to ensure all charges are accurate and to avoid unexpected costs. If you receive a bill that seems higher than the $84.00 cash rate, you should request a formal written audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected.