CMS Price Transparency Data

Family therapy session

Facility: Holland Community Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $118
Cash Discount Price: $72
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Holland Community Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.65x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $72 (40%)

Insurance Median: $118 (65%)

Cash: $72 (40% of Medicare)

Ins. Median: $118 (65% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Molina Mcaid - All Plans	$16 - $80	9%
Ph Mcaid	$16 - $80	9%
Nomi Health - All Plans	$27 - $138	15%
Aetna	$34 - $200	19%
Cofinity -All Plans	$34 - $175	19%
Multiplan - All Plans	$43 - $218	24%
Benefit Source Inc-All Plans	$44 - $225	24%
First Health-All Plans	$44 - $225	24%
Usa Managed Care-All Plans	$44 - $225	24%
Integrated Health Plans-All Plans	$47 - $238	26%
UnitedHealthcare	$49 - $102	27%
Blue Cross Blue Shield	$62 - $133	34%
Meridian Mcaid Profee Only-All Plans	$69	38%
Life Circles-All Plans	$97 - $168	53%
Lifesynch Bh Comm - All Other Plans	$100 - $120	55%
Health Alliance Mcr Adv	$102 - $177	56%
Ph Mcr Adv	$102 - $177	56%
Va Ccn - All Plans	$102 - $177	56%
Lifesynch Bh Mcr	$107 - $120	59%
Longevity Health Plan-All Plans	$111 - $191	61%
Sisco Epi	$115	63%
Sisco-All Other Plans	$115 - $160	63%
Blue Care Network - All Plans	$125	69%
Cigna	$128 - $218	71%
Priority Health - All Other Plans	$138 - $241	76%
Asr - All Plans	$182 - $419	100%
Health Alliance Ahl - All Other Plans	$182 - $419	100%
Health Alliance Hmo	$182 - $401	100%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $72.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holland Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.