CMS Price Transparency Data

Family therapy session

Facility: Charlevoix Area Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $176
  • Cash Discount Price: $251
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Charlevoix Area Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $251. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.97x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.
Cash / Self-Pay
$251

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $251 (138%)
Insurance Median: $176 (97%)
Cash: $251 (138% of Medicare)
Ins. Median: $176 (97% 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 - $275 37%
Meridian $68 - $125 37%
Priority Health $68 - $295 37%
UnitedHealthcare $68 - $256 37%
Blue Cross Blue Shield $69 - $272 38%
Aetna $102 - $266 56%
Blue Care Network $102 - $139 56%
Hap (Health Alliance Plan) $102 - $267 56%
Medicare (plans) $102 - $139 56%
Michigan Amish Medical Board $102 - $139 56%
Molina $102 - $150 56%
Northern Michigan Mennonite Group $102 - $139 56%
Cigna $138 - $295 76%
Asr Physicians Care Network $154 - $236 85%
Nomi Health $164 - $274 90%
Employee Benefits Logistics $174 - $236 96%
Hospice Of Michigan $177 98%
Enterprise Group Planning Employee Benefit Plan $236 130%
First Health/Coventry Health/Community Care Network $236 130%
Medical Cost Savings Solution $236 130%
Provider Network Of America/Hma Group Health $249 - $251 137%
Three Rivers Provider Network $251 138%
Iba Health And Life Assurance Company $271 149%
Cofinity $274 151%
Preferred Medical Claim Solutions $280 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals