CMS Price Transparency Data

Family therapy session

Facility: Glenwood Regional Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $615
Cash Discount Price: $1,079
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Glenwood Regional Medical Center is $615. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,079. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.39x the Medicare baseline. Located in 503 McMillan Road, West Monroe, LA.

Cash / Self-Pay

$1,079

Average discount available for prompt cash payment at this facility.

Insurance Median

$615

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: $1,079 (595%)

Insurance Median: $615 (339%)

Cash: $1,079 (595% of Medicare)

Ins. Median: $615 (339% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 339% of the Medicare baseline (a markup of 239%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$91	50%
UnitedHealthcare	$91 - $1,079	50%
Dignity Care Health Plan	$109 - $146	60%
Humana	$128	71%
Medicare (plans)	$133 - $146	73%
Caresact	$135	74%
Hospice	$135	74%
Patients Choice Hospice	$135	74%
Tricare	$135	74%
Self Pay Emergent	$162	89%
Insyss	$225	124%
Ford Beacon Davis	$265	146%
Texas Workers Compensation	$269	148%
Blue Cross Blue Shield	$307	169%
Vantage Health Plan	$389	215%
Coventry Healthcare	$466 - $477	257%
Ppo Plus	$562 - $755	310%
Verity Healthnet Inc	$615	339%
Cigna	$641	353%
Aetna	$701	387%
Iasis Employees	$728	401%
Gilsbar 360 Alliance	$755	416%
Three Rivers Provider Network	$917	506%
Verity Healthnet	$917	506%
Galaxy Health Network	$971	535%
Commercial Non-Contracted	$1,079	595%
Medsolutions	$1,079	595%
Mhnet	$1,079	595%
Self Pay - Mcd Pending 100 Percent	$1,079	595%
Single Case Agreement	$1,079	595%

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 $1,079.
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 Glenwood Regional 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.