CMS Price Transparency Data

Family therapy session

Facility: Abbeville General Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $314
  • Cash Discount Price: $216
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Abbeville General Hospital is $314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.73x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$216

Average discount available for prompt cash payment at this facility.

Insurance Median
$314

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: $216 (119%)
Insurance Median: $314 (173%)
Cash: $216 (119% of Medicare)
Ins. Median: $314 (173% 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
Triwest Healthcare Alliance $72 40%
Blue Cross Blue Shield $106 - $253 58%
Ppo Plus Professional $108 60%
Humana $145 - $402 80%
Aetna $158 - $303 87%
Healthy Blue $158 87%
People'S Health $158 87%
UnitedHealthcare $158 - $346 87%
Medicare (plans) $161 89%
Sierra Health And Life Insurance $161 89%
Sterling Life Insurance Company $161 89%
Cigna $214 118%
Self Pay $216 119%
Med-Comp Usa Inc $246 136%
Office Of Group Benefits $251 138%
Gilsbar Ppo $324 - $335 179%
Ppo Plus $324 179%
United Behavioral Health Inc $324 179%
Verity Healthnet National $324 179%
American Lifecare (Phcs) $335 - $346 185%
Vantage Health Plan $340 - $778 187%
Guardian Resources $346 191%
Coventry Company $368 203%
Galaxy Health Network $368 203%
Usa Managed Care $368 203%
Health Payors Organization $389 215%
Miscellaneous Insurance $432 238%
Wellcare Of Louisiana $432 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals