CMS Price Transparency Data

Family therapy session

Facility: Medstar Good Samaritan Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $193
  • Cash Discount Price: $190
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Medstar Good Samaritan Hospital is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.06x the Medicare baseline. Located in 5601 Loch Raven Boulevard, Baltimore, MD.
Cash / Self-Pay
$190

Average discount available for prompt cash payment at this facility.

Insurance Median
$193

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: $190 (105%)
Insurance Median: $193 (106%)
Cash: $190 (105% of Medicare)
Ins. Median: $193 (106% 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
Aetna $129 - $258 71%
Amerigroup $129 - $258 71%
Amerihealth Caritas District Of Columbia $129 - $258 71%
Carefirst Advantage Inc $129 - $258 71%
Carefirst Blue Choice Inc $129 - $258 71%
Cigna $129 - $258 71%
First Health $129 - $258 71%
Hscsn $129 - $258 71%
Humana $129 - $258 71%
Kaiser Permanente $129 - $258 71%
Magellan Behavioral Health Inc $129 - $258 71%
Mamsi $129 - $258 71%
Medstar Family Choice $129 - $258 71%
Medstar Family Choice Inc $129 - $258 71%
Ncppo Healthlink Ppo $129 - $258 71%
Pfc $129 - $258 71%
Private Healthcare Systems (Phcs) $129 - $258 71%
Tricare $129 - $258 71%
United Behavioral Health Inc $129 - $258 71%
UnitedHealthcare $129 - $258 71%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5601 Loch Raven Boulevard, Baltimore, MD 21239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals