CMS Price Transparency Data
Family therapy session
Facility: Mercy Health Saint Mary's
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $138
- Cash Discount Price: $123
- vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Mercy Health Saint Mary's is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.76x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$123
Average discount available for prompt cash payment at this facility.
Insurance Median
$138
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: $123 (68%)
Insurance Median: $138 (76%)
Cash: $123 (68% of Medicare)
Ins. Median: $138 (76% 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 |
|---|---|---|
| Aetna | $84 - $119 | 46% |
| Bcn Domestic | $91 | 50% |
| Blue Benefit Administrators Of Massachusetts | $91 | 50% |
| Blue Care Network | $91 | 50% |
| Blue Cross Blue Shield | $91 | 50% |
| Blue Distinction Transplant | $91 | 50% |
| Blue Shield - Ca | $91 | 50% |
| Blue Shield - Id (Regence) | $91 | 50% |
| Blue Shield - Ny Highmark Northeastern | $91 | 50% |
| Blue Shield - Ny Highmark Western | $91 | 50% |
| Blue Shield - Pa (Highmark) | $91 | 50% |
| Blue Shield - Wa (Regence) | $91 | 50% |
| Health Choices | $91 - $144 | 50% |
| Kaiser Domestic | $91 | 50% |
| Wc Accident Fund | $103 | 57% |
| Wc Advantage | $103 | 57% |
| Wc Aig | $103 | 57% |
| Wc Allied | $103 | 57% |
| Wc Amerisure | $103 | 57% |
| Wc Amtrust | $103 | 57% |
| Wc Asu Risk Mgt | $103 | 57% |
| Wc Berkley Admin | $103 | 57% |
| Wc Broadspire | $103 | 57% |
| Wc Bunch & Associates | $103 | 57% |
| Wc Ccmsi | $103 | 57% |
| Wc Emc Insurance Company | $103 | 57% |
| Wc Esis | $103 | 57% |
| Wc Fcci | $103 | 57% |
| Wc Federated | $103 | 57% |
| Wc Gallagher Bassett | $103 | 57% |
| Wc Genex Care For Ohio | $103 | 57% |
| Wc Guard Insurance Company | $103 | 57% |
| Wc Hartford | $103 | 57% |
| Wc Liberty Mutual | $103 | 57% |
| Wc Meijers | $103 | 57% |
| Wc Michigan | $103 | 57% |
| Wc Mitchell Frankenmuth | $103 | 57% |
| Wc Pma | $103 | 57% |
| Wc Sedgwick | $103 | 57% |
| Wc Sentry | $103 | 57% |
| Wc Travelers | $103 | 57% |
| Wc Tristar | $103 | 57% |
| Wc Walmart | $103 | 57% |
| Wc Zurich | $103 | 57% |
| Nomi Health | $106 | 58% |
| Acs Benefit Services | $109 | 60% |
| Allied Benefit Systems | $109 | 60% |
| Claimchoice Adminstrators | $109 | 60% |
| Consociate | $109 | 60% |
| Cypress Benefit Administrators | $109 | 60% |
| Forest County Potawatomi | $109 | 60% |
| Health Smart | $109 | 60% |
| Healthgram | $109 | 60% |
| Healthscope | $109 | 60% |
| Secureone Preferred United Plans | $109 | 60% |
| Sisco Benefits | $109 | 60% |
| The Health Plan | $109 | 60% |
| Trustmark Small Business Benefits | $109 | 60% |
| Unified Group Services | $109 | 60% |
| Webtpa | $109 | 60% |
| Geha | $119 - $144 | 66% |
| Medical Mutual | $119 | 66% |
| Meritain | $119 | 66% |
| Preferred One | $119 | 66% |
| Asr Health Benefits | $120 | 66% |
| Hap | $120 - $147 | 66% |
| Caresource | $123 | 68% |
| Varipro | $123 | 68% |
| 1199 National Benefit Fund | $138 | 76% |
| Allied National Global Care | $138 | 76% |
| Asrm - Reliance Standard Life Insurance | $138 | 76% |
| Christian Care Ministry | $138 | 76% |
| Cigna | $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% |
| Acclaim | $144 | 79% |
| Administrative Concepts | $144 | 79% |
| Allegeant | $144 | 79% |
| Ameriben | $144 | 79% |
| American Family | $144 | 79% |
| American Healthcare Alliance | $144 | 79% |
| American Republic | $144 | 79% |
| Amerihealth | $144 | 79% |
| Aultcare | $144 | 79% |
| Automated Benefit Services | $144 | 79% |
| Auxiant | $144 | 79% |
| Benefit Administrative Systems,Llc | $144 | 79% |
| Boon Chapman | $144 | 79% |
| Cam Administrative Services | $144 | 79% |
| Christian Brother Services | $144 | 79% |
| Christian Brothers Holy Cross | $144 | 79% |
| Comprehensive Benefits | $144 | 79% |
| Continental Life Insurance | $144 | 79% |
| Custom Benefit Administrators | $144 | 79% |
| Employee Benefit Concepts | $144 | 79% |
| Employee Benefit Management | $144 | 79% |
| Enterprise Group Planning | $144 | 79% |
| Freedom Life Insurance Company | $144 | 79% |
| Group Administrators | $144 | 79% |
| Group Marketing Services | $144 | 79% |
| Guardian | $144 | 79% |
| Health America | $144 | 79% |
| Healthez | $144 | 79% |
| Humana | $144 - $189 | 79% |
| Insight | $144 | 79% |
| Intercare | $144 | 79% |
| Jfp Benefit Management | $144 | 79% |
| Jp Farley Corporation | $144 | 79% |
| Key Benefit Administrator | $144 | 79% |
| Liberty Union Life Assurance Co | $144 | 79% |
| Lucent Health | $144 | 79% |
| Luminare Health | $144 | 79% |
| Luminare Health (Detroit) | $144 | 79% |
| Medben | $144 | 79% |
| Medcost | $144 | 79% |
| Mutual Health Services | $144 | 79% |
| Mutual Of Omaha | $144 | 79% |
| Ncas | $144 | 79% |
| Nippon Life Ins | $144 | 79% |
| Nova | $144 | 79% |
| Painters Union Insurance Fund | $144 | 79% |
| Physicians Mutual | $144 | 79% |
| Plumbers Local 98 Insurance Fund | $144 | 79% |
| Prairie States | $144 | 79% |
| Primary Physician Care | $144 | 79% |
| Professional Benefit Administrators | $144 | 79% |
| The Loomis Company | $144 | 79% |
| U Of M Health Plan | $144 - $183 | 79% |
| Unicare | $144 | 79% |
| UnitedHealthcare | $144 - $189 | 79% |
| Us Health And Life | $144 | 79% |
| Valenz | $144 | 79% |
| Western & Southern Financial Group | $144 | 79% |
| Wps | $144 | 79% |
| Coventry | $150 | 83% |
| First Health | $150 | 83% |
| Cmh Allegan County | $189 | 104% |
| Cmh Ausable Valley | $189 | 104% |
| Cmh Barry County | $189 | 104% |
| Cmh Berrien County | $189 | 104% |
| Cmh Cass County | $189 | 104% |
| Cmh Clinton-Eaton-Ingham County | $189 | 104% |
| Cmh Kalamazoo | $189 | 104% |
| Cmh Kent County | $189 | 104% |
| Cmh Lenawee County | $189 | 104% |
| Cmh Misc | $189 | 104% |
| Cmh Monroe County | $189 | 104% |
| Cmh Montcalm County | $189 | 104% |
| Cmh Muskegon County | $189 | 104% |
| Cmh Newaygo County | $189 | 104% |
| Cmh North Country | $189 | 104% |
| Cmh Northern Lakes County | $189 | 104% |
| Cmh Ottawa County | $189 | 104% |
| Cmh Van Buren County | $189 | 104% |
| Cmh West Mi County | $189 | 104% |
| Magellan Behavioral Health | $189 | 104% |
| Priority Health | $396 - $404 | 218% |