CMS Price Transparency Data

Family therapy session

Facility: Tufts Medical Center

Billing Code: 90847 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$216

about 1.2× the $181 Medicare rate · typically $100–$349

modeled estimate · not a bill or quote

What this hospital charges insurers

$200

About the fair price

about $16 under the fair price · 1.1× Medicare

Medicare pays $181 Fair price $216 This hospital $200 Cash price $191 Hospital's list price $273

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $52 Priciest $200

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Family therapy session is about $216 (about 1.2× the $181 Medicare rate). Tufts Medical Center charges insurers about $200, or about $191 in cash — about the fair price. Located in Boston, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$150 - $294	83%
Blue Cross Blue Shieldmajor	$147 - $399	81%
Aetnamajor	$96 - $176	53%
Cignamajor	$39 - $136	22%
AmeriHealth	$96	53%
AvMed	$96	53%
GEHA	$96	53%
Harvard Pilgrim	$150 - $294	83%
Tufts Health Plan	$35 - $213	19%
WellSense	$72 - $112	40%
+ 107 smaller / regional plans	$96 - $399

Government programs also on file: Medicare, Medicaid.

Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 191), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90847.

Insurance Before you use insurance

Call your insurance company to confirm Tufts Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90847.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Tufts Medical Center

Compare: Family therapy session at other MA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.