CMS Price Transparency Data

Family therapy session

Facility: Cox Medical Centers

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $183
Cash Discount Price: $109
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Cox Medical Centers is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.01x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$183

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: $109 (60%)

Insurance Median: $183 (101%)

Cash: $109 (60% of Medicare)

Ins. Median: $183 (101% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United Behavioral Health	$108	60%
Compsych	$118	65%
Humana	$125 - $177	69%
Magellan	$130	72%
Aps Healthcare	$145	80%
Cox Healthplans	$177	98%
Health Net Federal Services	$177	98%
Medrisk Llc	$177	98%
UnitedHealthcare	$177	98%
Interface Eap	$179	99%
Blue Cross Blue Shield	$180	99%
E4 Health Inc	$180	99%
Parkcrest Dental Group	$181	100%
Allwell	$182	100%
Coastal Energy Corporation	$182	100%
Texas Co Memorial Hospital	$183	101%
Heart Of America Beverage Company	$186	103%
Devoted	$189	104%
Provider Partners Health Plan	$189	104%
Loren Cook	$190	105%
Springfieldgreene Co Library	$194	107%
Src Holdings Corporation	$195	108%
Bjc Health Solutions	$197	109%
Ozark Anesthesia Assoc. Inc	$197	109%
Cigna	$200	110%
Missouri Affiliated School Consortium (Masc)	$203	112%
Justice Furniture And Bedding Co	$204	112%
The Durham Company	$204	112%
Ozark County	$205	113%
Ozarks Cocacola	$207	114%
Flora Farms	$211	116%
Advanced Concrete Technology	$213	117%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $109.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cox Medical Centers is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.