CMS Price Transparency Data

Family therapy session

Facility: Mercy Hospital St Louis

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $122
  • Cash Discount Price: $166
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Mercy Hospital St Louis is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.67x the Medicare baseline. Located in 615 New Ballas Road, Saint Louis, MO.
Cash / Self-Pay
$166

Average discount available for prompt cash payment at this facility.

Insurance Median
$122

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: $166 (92%)
Insurance Median: $122 (67%)
Cash: $166 (92% of Medicare)
Ins. Median: $122 (67% 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
Aetna $23 - $126 13%
Medicaid / KanCare $23 - $214 13%
Medica Contracted [320239] $40 - $94 22%
Ambetter / Centene $41 - $137 23%
Home State Health Plan Contracted [320187] $41 - $137 23%
Novasys Contracted [320285] $41 - $137 23%
Blue Cross Blue Shield $59 - $324 33%
Aither Health Contracted [320449] $65 - $155 36%
Aither Health [20449] $65 - $155 36%
Auxiant Contracted [320462] $65 - $155 36%
Ebms Contracted [320493] $65 - $155 36%
Edison Health Solutions Contracted [320502] $65 - $155 36%
Healthlink Contracted [320179] $65 - $245 36%
Imagine 360 Contracted [320494] $65 - $155 36%
Mercy Benefit Admin Contracted [320251] $65 - $162 36%
Mercy Benefit Admin [20251] $65 - $162 36%
Reflect Health Contracted [320492] $65 - $155 36%
Show-Me Health Administrators Contracted [320483] $65 - $155 36%
Yuzu Health Contracted [320521] $65 - $155 36%
Cigna $68 - $274 37%
Health Choices Contracted [320448] $91 - $216 50%
Health Choices [20448] $91 - $216 50%
Medical Associates Health Contracted [320444] $91 - $216 50%
Federal Medical Center Contracted [320127] $99 - $234 55%
Insurance System Inc Contracted [320465] $99 - $234 55%
Point C Contracted [320238] $99 - $234 55%
Tri State Healthcare Coalition Contracted [320379] $99 - $234 55%
First Health Contracted [320128] $106 - $256 58%
Mercy Mgd Behavioral Health Contracted [320259] $106 - $252 58%
Multiplan Contracted [320270] $106 - $270 58%
Private Health Care Systems Contracted [320320] $106 - $252 58%
Workers Comp [20426] $114 - $288 63%
Medicare (plans) $152 - $486 84%
UnitedHealthcare $178 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 615 New Ballas Road, Saint Louis, MO 63141
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals