Family therapy session
Facility: Bob Wilson Memorial Hospital
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $170
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 | $170 | 94% |
Consumer Guidance & Cost Commentary
For the CPT code 90847, representing a family therapy session at Bob Wilson Memorial Hospital in Ulysses, Kansas, the negotiated rate is $170.00, which matches the lowest and highest reported amounts from Blue Cross Blue Shield. This facility is a Critical Access Hospital owned by a voluntary non-profit church. While the data does not provide specific cash or median paid figures, patients should note that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final bill by bypassing administrative processing fees.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $181.34, which serves as the objective baseline for fair pricing. Although the specific county or state average for this code is not provided in the current dataset, the Medicare rate reflects the true cost of delivery based on local wage indexes and provider costs. Commercial negotiated rates often include additional administrative layers that can inflate the price, so patients should verify their plan's allowed amount before scheduling to ensure they are not paying more than necessary. Always request an itemized bill to confirm that all charges are accurate and that no services were unbundled or duplicated.