Family therapy session
Facility: Hospital District #6 Patterson Health Center
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $369
- Cash Discount Price: $240
- vs. Medicare Baseline: 2.03x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 203% of the Medicare baseline (a markup of 103%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $120 - $126 | 66% |
| UnitedHealthcare | $250 - $650 | 138% |
| Providers Care (Wppa)-All Plans | $438 - $1,138 | 242% |
Consumer Guidance & Cost Commentary
For the CPT code 90847 representing a family therapy session at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's cash median price of $240.00 is notably lower than the negotiated rates charged to commercial payers. While Blue Cross Blue Shield plans pay a range between $120 and $126, and UnitedHealthcare plans range from $250 to $650, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds this amount. The facility's cash rate also compares favorably against the Medicare benchmark of $181.34, with a ratio of 2.0 indicating the cash price is slightly higher than the federal baseline, yet significantly lower than the median negotiated rate of $369.00 reported for this service.
To secure the most favorable payment, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass administrative overhead and lower the final cost. It is important to verify the specific allowed amount for your insurance plan, as in-network status does not guarantee the lowest possible price, and some facilities may charge significantly more than others for the same service. Additionally, since this facility is a Critical Access Hospital owned by a government hospital district, patients should request an itemized bill to ensure no errors exist, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit dispute rather than accepting a summary invoice.