CMS Price Transparency Data

Family therapy session

Facility: Lake Charles Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $159
Cash Discount Price: $152
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Lake Charles Memorial Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $152 (84%)

Insurance Median: $159 (88%)

Cash: $152 (84% of Medicare)

Ins. Median: $159 (88% 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
Meritain	$102 - $126	56%
Verity	$109 - $134	60%
Aetna	$132 - $268	73%
Blue Cross Blue Shield	$132	73%
Champus_Va	$132	73%
Cigna	$132 - $210	73%
Medicare (plans)	$132	73%
Tricare	$132	73%
Veterans_Administration	$132	73%
Veterans_Choice-Triwest	$132	73%
Humana	$135 - $268	74%
Ppo_Plus_	$136 - $168	75%
Phcs	$159 - $196	88%
United_Healthcare	$159 - $196	88%
United_Healthcare_Behavorial_Health	$159 - $196	88%
Lwcc	$174 - $214	96%
First_Health	$182 - $224	100%
Workers_Compensation	$205 - $252	113%
Coushatta_Tribe_Dept_Of_Health	$238	131%
Blue_Cross_Blue_Shield_La	$253	140%
Vantage_Commercial	$268	148%

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 $152.
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 Lake Charles Memorial Hospital 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.