CMS Price Transparency Data

Family therapy session

Facility: Rockcastle County Hospital, Inc.

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $170
  • Cash Discount Price: $194
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Rockcastle County Hospital, Inc. is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.94x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$194

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $194 (107%)
Insurance Median: $170 (94%)
Cash: $194 (107% of Medicare)
Ins. Median: $170 (94% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Passport Hp Hmo - All Plans $69 38%
Caresource Mcaid $78 43%
Coventry Mcaid-All Plans $78 43%
Medicaid / KanCare $78 43%
Molina Mcaid $78 43%
UnitedHealthcare $78 - $350 43%
Tricare $125 69%
Blue Cross Blue Shield $167 - $191 92%
Caresource Mcr Adv-All Other Plans $167 92%
Humana $167 - $322 92%
Molina Marketplace - All Other Plans $167 92%
Molina Mcr Adv $167 92%
Signature Mcr Adv-All Plans $167 92%
Wellcare Mcr Adv-All Other Plans $167 92%
Multiplan-All Plans $217 120%
Prime Health Services-All Plans $217 120%
Integrated Hp-All Plans $227 125%
Corvel - All Plans $230 127%
Center Care-All Plans $242 133%
Cigna $247 136%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals