CMS Price Transparency Data

Family therapy session

Facility: Henry Ford Macomb Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $99
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.55x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Henry Ford Macomb Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.55x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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%)
Insurance Median: $99 (55%)
Ins. Median: $99 (55% 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
Cofinity Group Health $31 - $63 17%
Aetna $38 - $173 21%
UnitedHealthcare $43 - $157 24%
Hap $44 - $152 24%
Mclaren Health $45 - $157 25%
Blue Cross Blue Shield $56 - $157 31%
Mclaren $56 31%
Meridian Health Plan Of Mi $56 - $85 31%
Multiplan, Inc. $56 31%
Priority Health $56 - $157 31%
Humana $60 - $133 33%
Amerihealth Michigan $68 - $154 37%
Cigna $68 - $319 37%
Hap Caresource $68 - $157 37%
Mclaren Health Plan Inc. $68 - $104 37%
Meridian $68 - $104 37%
University Of Michigan $68 37%
Molina $70 - $115 39%
Priority $71 - $104 39%
Beacon Health $74 - $99 41%
Pace Se Mi $99 55%
Bcn $104 - $157 57%
Cca Health Mi $104 57%
Health Alliance Plan Of Michigan $104 57%
Mount Carmel Health Plan $104 - $157 57%
United Behavioral Health, Inc. $104 57%
Wellcare Ma $104 57%
Wellcare $105 58%
Vaccn $112 - $113 62%
Vitalcore Physicians Group Of Mi $135 - $362 74%
Pace Of Se Mi $150 83%
Cca Health Michigan $157 87%
Molina Mi Health Link $157 87%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals