CMS Price Transparency Data

Family therapy session

Facility: Berkshire Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $215
Cash Discount Price: $296
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Berkshire Medical Center is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $296. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$296

Average discount available for prompt cash payment at this facility.

Insurance Median

$215

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: $296 (163%)

Insurance Median: $215 (119%)

Cash: $296 (163% of Medicare)

Ins. Median: $215 (119% 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
Workers Comp	$89 - $189	49%
Other Government	$105 - $228	58%
Fallon	$107 - $269	59%
Medicare (plans)	$110 - $224	61%
Hospice	$112 - $228	62%
UnitedHealthcare	$112 - $268	62%
Health New England	$113 - $230	62%
Blue Cross Blue Shield	$115 - $264	63%
Commcare Alliance	$115 - $269	63%
Cdphp	$119 - $280	66%
Mbhp	$119	66%
Mcd Out Of State	$119	66%
Medicaid / KanCare	$119	66%
Bmchnp	$155	85%
Aetna	$161 - $235	89%
Comm Tufts Qhpsub (Network)	$176 - $188	97%
Point32Health	$176 - $296	97%
Comm Hne Hmo	$181 - $215	100%
Comm Hne Ppo	$193 - $228	106%
Allways Nhp	$201	111%
Unicare	$202 - $211	111%
Beacon	$264 - $280	146%
Cigna	$280 - $289	154%
Mvp	$280	154%
Oxford	$280	154%
First Health	$289 - $296	159%
Connecticare	$296	163%
Consolidated Health Plans	$296	163%
Other Commercial	$296	163%
Phcs	$296	163%
Self Pay	$296	163%

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 $296.
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 Berkshire 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.