Family therapy session
Facility: Greeley County Health Services
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $165
- Cash Discount Price: $200
- vs. Medicare Baseline: 0.91x 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 | $165 | 91% |
Consumer Guidance & Cost Commentary
For this family therapy session at Greeley County Health Services in Tribune, Kansas, the cash price is $200.00, which is lower than the facility's negotiated rate of $165.00 paid by Blue Cross Blue Shield. While the facility is a Critical Access Hospital with government-local ownership, patients should be aware that cash payments can sometimes be more cost-effective than using insurance, especially if your plan has a high deductible or if the negotiated rate exceeds the cash price. To ensure you are receiving the best possible rate, it is recommended to explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these incentives can further reduce the final amount owed.
When reviewing your final invoice, always request a detailed itemized bill rather than accepting a summary statement, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. This facility's Medicare benchmark rate is $181.34, which serves as an objective baseline for evaluating pricing; commercial negotiated rates often exceed this by a significant margin due to administrative costs and contract structures. By comparing your specific charges against the Medicare amount and verifying that all line items are accurate, you can effectively identify potential overcharges and negotiate a fair settlement before payment is due.