CMS Price Transparency Data

Family therapy session

Facility: Cox Medical Center Branson

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $190
Cash Discount Price: $98
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Cox Medical Center Branson is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 525 Branson Landing Blvd, Po Box 650, Branson, MO.

Cash / Self-Pay

$98

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $98 (54%)

Insurance Median: $190 (105%)

Cash: $98 (54% of Medicare)

Ins. Median: $190 (105% 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
Compsych	$118	65%
Humana	$125 - $189	69%
Aps Healthcare	$145	80%
E4 Health Inc	$180	99%
Cox Healthplans	$189	104%
Health Net Federal Services	$189	104%
Medrisk Llc	$189	104%
UnitedHealthcare	$189	104%
Loren Cook	$190	105%
Blue Cross Blue Shield	$192	106%
Allwell	$195	108%
Src Holdings Corporation	$195	108%
Beacon Health	$200	110%
Cigna	$200	110%
United Behavioral Health	$200 - $220	110%
Devoted	$203	112%
Missouri Affiliated School Consortium (Masc)	$203	112%

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 $98.
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 Center Branson 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.