CMS Price Transparency Data
Family therapy session
Facility: Trinity Health Oakland Hospital
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $148
- Cash Discount Price: $132
- vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Trinity Health Oakland Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$132
Average discount available for prompt cash payment at this facility.
Insurance Median
$148
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: $132 (73%)
Insurance Median: $148 (82%)
Cash: $132 (73% of Medicare)
Ins. Median: $148 (82% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $47 - $73 | 26% |
| Wc Accident Fund | $62 | 34% |
| Wc Advantage | $62 | 34% |
| Wc Aig | $62 | 34% |
| Wc Allied | $62 | 34% |
| Wc Amerisure | $62 | 34% |
| Wc Amtrust | $62 | 34% |
| Wc Asu Risk Mgt | $62 | 34% |
| Wc Berkley Admin | $62 | 34% |
| Wc Broadspire | $62 | 34% |
| Wc Bunch & Associates | $62 | 34% |
| Wc Ccmsi | $62 | 34% |
| Wc Emc Insurance Company | $62 | 34% |
| Wc Esis | $62 | 34% |
| Wc Fcci | $62 | 34% |
| Wc Federated | $62 | 34% |
| Wc Gallagher Bassett | $62 | 34% |
| Wc Genex Care For Ohio | $62 | 34% |
| Wc Guard Insurance Company | $62 | 34% |
| Wc Hartford | $62 | 34% |
| Wc Liberty Mutual | $62 | 34% |
| Wc Meijers | $62 | 34% |
| Wc Michigan | $62 | 34% |
| Wc Mitchell Frankenmuth | $62 | 34% |
| Wc Pma | $62 | 34% |
| Wc Sedgwick | $62 | 34% |
| Wc Sentry | $62 | 34% |
| Wc Travelers | $62 | 34% |
| Wc Tristar | $62 | 34% |
| Wc Walmart | $62 | 34% |
| Wc Zurich | $62 | 34% |
| Aetna | $63 - $127 | 35% |
| Bcn Domestic | $73 | 40% |
| Blue Benefit Administrators Of Massachusetts | $73 | 40% |
| Blue Care Network | $73 | 40% |
| Blue Distinction Transplant | $73 | 40% |
| Blue Shield - Ca | $73 | 40% |
| Blue Shield - Id (Regence) | $73 | 40% |
| Blue Shield - Ny Highmark Northeastern | $73 | 40% |
| Blue Shield - Ny Highmark Western | $73 | 40% |
| Blue Shield - Pa (Highmark) | $73 | 40% |
| Blue Shield - Wa (Regence) | $73 | 40% |
| Health Choices | $73 - $149 | 40% |
| Kaiser Domestic | $73 | 40% |
| Acs Benefit Services | $89 | 49% |
| Allied Benefit Systems | $89 | 49% |
| Claimchoice Adminstrators | $89 | 49% |
| Consociate | $89 | 49% |
| Cypress Benefit Administrators | $89 | 49% |
| Forest County Potawatomi | $89 | 49% |
| Health Smart | $89 | 49% |
| Healthgram | $89 | 49% |
| Healthscope | $89 | 49% |
| Secureone Preferred United Plans | $89 | 49% |
| Sisco Benefits | $89 | 49% |
| The Health Plan | $89 | 49% |
| Trustmark Small Business Benefits | $89 | 49% |
| Unified Group Services | $89 | 49% |
| Webtpa | $89 | 49% |
| Mclaren Health | $98 - $106 | 54% |
| Carelon Behavioral Health | $102 | 56% |
| Magellan Behavioral Health | $122 | 67% |
| Geha | $127 - $152 | 70% |
| Medical Mutual | $127 | 70% |
| Meritain | $127 | 70% |
| 1199 National Benefit Fund | $138 | 76% |
| Allied National Global Care | $138 | 76% |
| Asrm - Reliance Standard Life Insurance | $138 | 76% |
| Christian Care Ministry | $138 | 76% |
| Dean Health | $138 | 76% |
| Fallon Health | $138 | 76% |
| Family Life Insurance Company | $138 | 76% |
| Ghc Scw | $138 | 76% |
| Group Pension Administrators | $138 | 76% |
| International Benefit Administrators | $138 | 76% |
| Lifetime Benefit Solutions | $138 | 76% |
| Manhattan Life | $138 | 76% |
| Medi Share | $138 | 76% |
| Multiplan | $138 | 76% |
| Mvp | $138 | 76% |
| Pai | $138 | 76% |
| Pan-American Life | $138 | 76% |
| Paramount Hmo | $138 | 76% |
| Phcs | $138 | 76% |
| Trinity Health Share | $138 | 76% |
| Hap | $148 - $249 | 82% |
| Health Partners | $148 | 82% |
| Tufts Health Plan | $148 | 82% |
| Access Health | $149 | 82% |
| Acclaim | $149 | 82% |
| Administrative Concepts | $149 | 82% |
| Allegeant | $149 | 82% |
| Ameriben | $149 | 82% |
| American Family | $149 | 82% |
| American Healthcare Alliance | $149 | 82% |
| American National | $149 | 82% |
| American Republic | $149 | 82% |
| Amerihealth | $149 | 82% |
| Aultcare | $149 | 82% |
| Automated Benefit Services | $149 | 82% |
| Auxiant | $149 | 82% |
| Benefit Administrative Systems,Llc | $149 | 82% |
| Boon Chapman | $149 | 82% |
| Cam Administrative Services | $149 | 82% |
| Christian Brother Services | $149 | 82% |
| Christian Brothers Holy Cross | $149 | 82% |
| Comprehensive Benefits | $149 | 82% |
| Continental Life Insurance | $149 | 82% |
| Custom Benefit Administrators | $149 | 82% |
| Employee Benefit Concepts | $149 | 82% |
| Employee Benefit Management | $149 | 82% |
| Enterprise Group Planning | $149 | 82% |
| Freedom Life Insurance Company | $149 | 82% |
| Group Administrators | $149 | 82% |
| Group Marketing Services | $149 | 82% |
| Guardian | $149 | 82% |
| Health America | $149 | 82% |
| Healthcare Management Admin | $149 | 82% |
| Healthez | $149 | 82% |
| Humana | $149 | 82% |
| Insight | $149 | 82% |
| Intercare | $149 | 82% |
| Jfp Benefit Management | $149 | 82% |
| Jp Farley Corporation | $149 | 82% |
| Key Benefit Administrator | $149 | 82% |
| Liberty Union Life Assurance Co | $149 | 82% |
| Lucent Health | $149 | 82% |
| Luminare Health | $149 | 82% |
| Luminare Health (Detroit) | $149 | 82% |
| Magnacare | $149 | 82% |
| Medben | $149 | 82% |
| Medcost | $149 | 82% |
| Mutual Health Services | $149 | 82% |
| Mutual Of Omaha | $149 | 82% |
| Ncas | $149 | 82% |
| Nippon Life Ins | $149 | 82% |
| Nova | $149 | 82% |
| Painters Union Insurance Fund | $149 | 82% |
| Physicians Mutual | $149 | 82% |
| Plumbers Local 98 Insurance Fund | $149 | 82% |
| Prairie States | $149 | 82% |
| Preferred One | $149 | 82% |
| Primary Physician Care | $149 | 82% |
| Professional Benefit Administrators | $149 | 82% |
| Siho Insurance Services | $149 | 82% |
| The Loomis Company | $149 | 82% |
| Unicare | $149 | 82% |
| Us Health And Life | $149 | 82% |
| Valenz | $149 | 82% |
| Western & Southern Financial Group | $149 | 82% |
| Wps | $149 | 82% |
| Cigna | $150 | 83% |
| UnitedHealthcare | $152 | 84% |
| Coventry | $153 | 84% |
| First Health | $153 | 84% |
| Prime Health Services | $162 | 89% |
| Three Rivers Provider Network | $183 | 101% |
| U Of M Health Plan | $183 | 101% |
| Cmh Detroit Wayne Integrated Health Network | $203 | 112% |
| Cmh Lenawee County | $203 | 112% |
| Cmh Livingston County | $203 | 112% |
| Cmh Misc | $203 | 112% |
| Cmh Monroe County | $203 | 112% |
| Cmh Oakland County | $203 | 112% |
| Cmh Washtenaw County | $203 | 112% |
| Asr Health Benefits | $249 | 137% |
| Caresource | $249 | 137% |
| Varipro | $249 | 137% |
| Priority Health | $294 - $327 | 162% |