CMS Price Transparency Data

Family therapy session

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $154
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Munson Healthcare Cadillac Hospital is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.85x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$154

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: $177 (98%)
Insurance Median: $154 (85%)
Cash: $177 (98% of Medicare)
Ins. Median: $154 (85% 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
Blue Cross Blue Shield $39 - $133 22%
Mclaren Health Plan $68 - $177 37%
Meridian $68 - $92 37%
Molina $68 - $191 37%
Priority Health $68 - $227 37%
UnitedHealthcare $68 - $177 37%
American Health Associates $102 - $177 56%
Autumnwood Of Mcbain Skilled Nursing $102 - $177 56%
Blue Care Network $102 - $177 56%
Hap (Health Alliance Plan) $102 - $177 56%
Humana $102 - $177 56%
Medicare (plans) $102 - $177 56%
Michigan Amish Medical Board $102 - $177 56%
Promedica $102 - $177 56%
Samaritas Senior Living Skilled Nursing $102 - $177 56%
Wellcare (Meridian) $102 - $177 56%
Aetna $124 - $177 68%
Cofinity $124 - $162 68%
Hospice Of Michigan $125 69%
Cigna $138 - $227 76%
Provider Network Of America Group Health $143 - $177 79%
Munson Hospice $146 - $852 81%
Asr/Physicians Care $154 - $166 85%
Enterprise Group Planning/Employee Benefit Plan $166 92%
Medical Cost Savings Solution $166 92%
Nomi Health $166 92%
Robbing Group And Regency Employee Benefits $166 92%
Employee Benefits Logistics $174 - $301 96%
First Health/Coventry Network $177 98%
Three Rivers Provider Network $177 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals