CMS Price Transparency Data

Family therapy session

Facility: Essentia Health St Mary's Medical Center

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$149
about 0.8× the $181 Medicare rate · typically $134–$165
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
About the fair price
about $12 over the fair price · 0.9× Medicare
Medicare pays $181 Fair price $149 This hospital $161 Cash price $168 Hospital's list price $255

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $99 Priciest $161

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Family therapy session is about $149 (about 0.8× the $181 Medicare rate). Essentia Health St Mary's Medical Center charges insurers about $161, or about $168 in cash — about the fair price. Located in Duluth, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $161 89%
Blue Cross Blue Shieldmajor $113 - $368 62%
Aetnamajor $217 120%
HealthPartners $161 89%
Medica $161 89%
Sanford Health Plan $109 - $285 60%
Security Health Plan $161 - $196 89%
UCare $161 - $168 89%
+ 15 smaller / regional plans $128 - $219
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals