Family therapy session
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $151
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.83x 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 |
|---|---|---|
| Va | $149 | 82% |
| Vc Hope | $149 | 82% |
| Humana | $149 | 82% |
| Medicare (plans) | $149 - $152 | 82% |
| UnitedHealthcare | $152 - $416 | 84% |
| Blue Cross Blue Shield | $152 | 84% |
| Smarthealth | $208 | 115% |
| Medicaid / KanCare | $253 | 140% |
| Aetna | $257 - $322 | 142% |
Consumer Guidance & Cost Commentary
For the CPT code 90847 representing a family therapy session at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates with major payers range from $149 to $416, with a median negotiated amount of $151.00. While the facility's Medicare benchmark of $181.34 serves as the objective baseline for fair pricing, commercial rates can vary significantly depending on the specific insurance plan. For instance, UnitedHealthcare plans show a wider range of $152 to $416, whereas plans like Va, Vc Hope, and Humana have a fixed rate of $149. It is important to note that cash-pay rates are not listed for this service, but patients with high-deductible plans should verify if paying out-of-pocket directly could result in lower costs than their insurance's negotiated rate, as administrative overhead often inflates commercial prices.
Consumers should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. To ensure transparency, patients should request a full itemized CPT-coded bill before paying, as summary invoices may obscure individual line items or unbundled charges. Additionally, since hospitals often offer prompt-pay discounts of 20% to 50% for upfront payment, it is advisable to contact the billing department directly to inquire about self-pay or prompt-pay rates prior to scheduling care. This proactive step can help avoid the administrative fees and potential balance billing that typically accompany insurance claims processing.