CMS Price Transparency Data

Family therapy session

Facility: Ochsner Lafayette General Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $117
Cash Discount Price: $49
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Ochsner Lafayette General Medical Center is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.65x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $49 (27%)

Insurance Median: $117 (65%)

Cash: $49 (27% of Medicare)

Ins. Median: $117 (65% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$22 - $146	12%
Aetna	$75 - $149	41%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$75	41%
Healthy Blue (Healthy Louisiana)	$75	41%
Humana	$75 - $146	41%
Louisiana Healthcare Connections (Healthy Louisiana)	$75	41%
UnitedHealthcare	$75 - $146	41%
Verity Commercial And First Choice Network	$78 - $126	43%
Tricare	$100 - $146	55%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$101 - $146	56%
Medicare (plans)	$101 - $146	56%
Ochsner Health Plan	$101 - $146	56%
Wellcare Of Louisiana	$101 - $154	56%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$104 - $150	57%
Cigna	$115 - $181	63%
Zelis	$133 - $140	73%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $49.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Lafayette General Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.