CMS Price Transparency Data
Family therapy session
Facility: Trinity Health Muskegon Hospital
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $174
- Cash Discount Price: $151
- vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Trinity Health Muskegon Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.96x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$151
Average discount available for prompt cash payment at this facility.
Insurance Median
$174
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: $151 (83%)
Insurance Median: $174 (96%)
Cash: $151 (83% of Medicare)
Ins. Median: $174 (96% 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 | $98 - $157 | 54% |
| Bcn Domestic | $113 | 62% |
| Blue Benefit Administrators Of Massachusetts | $113 | 62% |
| Blue Care Network | $113 | 62% |
| Blue Cross Blue Shield | $113 | 62% |
| Blue Distinction Transplant | $113 | 62% |
| Blue Shield - Ca | $113 | 62% |
| Blue Shield - Id (Regence) | $113 | 62% |
| Blue Shield - Ny Highmark Northeastern | $113 | 62% |
| Blue Shield - Ny Highmark Western | $113 | 62% |
| Blue Shield - Pa (Highmark) | $113 | 62% |
| Blue Shield - Wa (Regence) | $113 | 62% |
| Health Choices | $113 - $183 | 62% |
| Kaiser Domestic | $113 | 62% |
| Acs Benefit Services | $121 | 67% |
| Allied Benefit Systems | $121 | 67% |
| Claimchoice Adminstrators | $121 | 67% |
| Consociate | $121 | 67% |
| Cypress Benefit Administrators | $121 | 67% |
| Forest County Potawatomi | $121 | 67% |
| Health Smart | $121 | 67% |
| Healthgram | $121 | 67% |
| Healthscope | $121 | 67% |
| Preferred One | $121 | 67% |
| Secureone Preferred United Plans | $121 | 67% |
| Sisco Benefits | $121 | 67% |
| The Health Plan | $121 | 67% |
| Trustmark Small Business Benefits | $121 | 67% |
| Unified Group Services | $121 | 67% |
| Webtpa | $121 | 67% |
| Asr Health Benefits | $123 | 68% |
| Hap | $123 - $184 | 68% |
| Wc Accident Fund | $124 | 68% |
| Wc Advantage | $124 | 68% |
| Wc Aig | $124 | 68% |
| Wc Allied | $124 | 68% |
| Wc Amerisure | $124 | 68% |
| Wc Amtrust | $124 | 68% |
| Wc Asu Risk Mgt | $124 | 68% |
| Wc Berkley Admin | $124 | 68% |
| Wc Broadspire | $124 | 68% |
| Wc Bunch & Associates | $124 | 68% |
| Wc Ccmsi | $124 | 68% |
| Wc Emc Insurance Company | $124 | 68% |
| Wc Esis | $124 | 68% |
| Wc Fcci | $124 | 68% |
| Wc Federated | $124 | 68% |
| Wc Gallagher Bassett | $124 | 68% |
| Wc Genex Care For Ohio | $124 | 68% |
| Wc Guard Insurance Company | $124 | 68% |
| Wc Hartford | $124 | 68% |
| Wc Liberty Mutual | $124 | 68% |
| Wc Meijers | $124 | 68% |
| Wc Michigan | $124 | 68% |
| Wc Mitchell Frankenmuth | $124 | 68% |
| Wc Pma | $124 | 68% |
| Wc Sedgwick | $124 | 68% |
| Wc Sentry | $124 | 68% |
| Wc Travelers | $124 | 68% |
| Wc Tristar | $124 | 68% |
| Wc Walmart | $124 | 68% |
| Wc Zurich | $124 | 68% |
| Hospice Of Michigan | $128 | 71% |
| Nomi Health | $130 | 72% |
| Varipro | $134 | 74% |
| Caresource | $146 | 81% |
| Cigna | $146 | 81% |
| Geha | $157 - $204 | 87% |
| Meritain | $157 | 87% |
| 1199 National Benefit Fund | $174 | 96% |
| Allied National Global Care | $174 | 96% |
| Asrm - Reliance Standard Life Insurance | $174 | 96% |
| Christian Care Ministry | $174 | 96% |
| Dean Health | $174 | 96% |
| Fallon Health | $174 | 96% |
| Family Life Insurance Company | $174 | 96% |
| Ghc Scw | $174 | 96% |
| Group Pension Administrators | $174 | 96% |
| International Benefit Administrators | $174 | 96% |
| Lifetime Benefit Solutions | $174 | 96% |
| Manhattan Life | $174 | 96% |
| Medi Share | $174 | 96% |
| Multiplan | $174 | 96% |
| Mvp | $174 | 96% |
| Pai | $174 | 96% |
| Pan-American Life | $174 | 96% |
| Paramount Hmo | $174 | 96% |
| Phcs | $174 | 96% |
| Trinity Health Share | $174 | 96% |
| Acclaim | $183 | 101% |
| Administrative Concepts | $183 | 101% |
| Allegeant | $183 | 101% |
| Ameriben | $183 | 101% |
| American Family | $183 | 101% |
| American Healthcare Alliance | $183 | 101% |
| American Republic | $183 | 101% |
| Amerihealth | $183 | 101% |
| Aultcare | $183 | 101% |
| Automated Benefit Services | $183 | 101% |
| Auxiant | $183 | 101% |
| Benefit Administrative Systems,Llc | $183 | 101% |
| Boon Chapman | $183 | 101% |
| Cam Administrative Services | $183 | 101% |
| Christian Brother Services | $183 | 101% |
| Christian Brothers Holy Cross | $183 | 101% |
| Comprehensive Benefits | $183 | 101% |
| Continental Life Insurance | $183 | 101% |
| Custom Benefit Administrators | $183 | 101% |
| Employee Benefit Concepts | $183 | 101% |
| Employee Benefit Management | $183 | 101% |
| Enterprise Group Planning | $183 | 101% |
| Freedom Life Insurance Company | $183 | 101% |
| Group Administrators | $183 | 101% |
| Group Marketing Services | $183 | 101% |
| Guardian | $183 | 101% |
| Health America | $183 | 101% |
| Healthez | $183 | 101% |
| Humana | $183 | 101% |
| Insight | $183 | 101% |
| Intercare | $183 | 101% |
| Jfp Benefit Management | $183 | 101% |
| Jp Farley Corporation | $183 | 101% |
| Key Benefit Administrator | $183 | 101% |
| Liberty Union Life Assurance Co | $183 | 101% |
| Lucent Health | $183 | 101% |
| Luminare Health | $183 | 101% |
| Luminare Health (Detroit) | $183 | 101% |
| Medben | $183 | 101% |
| Medcost | $183 | 101% |
| Medical Mutual | $183 | 101% |
| Mutual Health Services | $183 | 101% |
| Mutual Of Omaha | $183 | 101% |
| Ncas | $183 | 101% |
| Nippon Life Ins | $183 | 101% |
| Nova | $183 | 101% |
| Painters Union Insurance Fund | $183 | 101% |
| Physicians Mutual | $183 | 101% |
| Plumbers Local 98 Insurance Fund | $183 | 101% |
| Prairie States | $183 | 101% |
| Primary Physician Care | $183 | 101% |
| Professional Benefit Administrators | $183 | 101% |
| The Loomis Company | $183 | 101% |
| U Of M Health Plan | $183 | 101% |
| Unicare | $183 | 101% |
| Us Health And Life | $183 | 101% |
| Valenz | $183 | 101% |
| Western & Southern Financial Group | $183 | 101% |
| Wps | $183 | 101% |
| Priority Health | $186 - $208 | 103% |
| First Health | $190 | 105% |
| UnitedHealthcare | $204 | 112% |
| Barinet | $232 | 128% |
| Cmh Allegan County | $232 | 128% |
| Cmh Barry County | $232 | 128% |
| Cmh Berrien County | $232 | 128% |
| Cmh Cass County | $232 | 128% |
| Cmh Kalamazoo | $232 | 128% |
| Cmh Kent County | $232 | 128% |
| Cmh Misc | $232 | 128% |
| Cmh Muskegon County | $232 | 128% |
| Cmh North Country | $232 | 128% |
| Cmh Northern Lakes County | $232 | 128% |
| Cmh Ottawa County | $232 | 128% |
| Cmh Van Buren County | $232 | 128% |
| Cmh West Mi County | $232 | 128% |