CMS Price Transparency Data

Family therapy session

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $102
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.56x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Munson Healthcare Otsego Memorial Hospital is $102. 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 0.56x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $102 (56%)
Ins. Median: $102 (56% 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
Mclaren Health Plan $68 - $102 37%
Meridian $68 - $92 37%
Molina $68 - $111 37%
Priority Health $68 - $227 37%
UnitedHealthcare $68 - $108 37%
Blue Cross Blue Shield $69 - $133 38%
Blue Care Network $102 56%
Hap (Health Alliance Plan) $102 - $154 56%
Humana $102 56%
Medicare (plans) $102 - $177 56%
Michigan Amish Medical Board $102 56%
Northern Michigan Mennonite Group $102 56%
Aetna $103 57%
Cigna $138 - $227 76%
Asr Physicians Care Network $154 85%
Nomi Health $164 90%
Employee Benefit Logistics $174 96%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 825 N Center Ave, Gaylord, MI 49735
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals