CMS Price Transparency Data

Family therapy session

Facility: Mercy Hospital Southeast

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $133
Cash Discount Price: $121
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Mercy Hospital Southeast is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.

Cash / Self-Pay

$121

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $121 (67%)

Insurance Median: $133 (73%)

Cash: $121 (67% of Medicare)

Ins. Median: $133 (73% 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
Aetna	$14 - $141	8%
Medicaid / KanCare	$14 - $247	8%
Blue Cross Blue Shield	$72 - $632	40%
First Health Contracted [320128]	$97 - $141	53%
Health Alliance Contracted [320164]	$99 - $144	55%
Aither Health Contracted [320449]	$103 - $150	57%
Edison Health Solutions Contracted [320502]	$103 - $150	57%
Healthlink Contracted [320179]	$103 - $172	57%
Mercy Benefit Admin Contracted [320251]	$103 - $150	57%
Mercy Benefit Admin [20251]	$103 - $150	57%
Yuzu Health Contracted [320521]	$103 - $150	57%
Cigna	$106 - $155	58%
Workers Comp [20426]	$114 - $177	63%
Multiplan Contracted [320270]	$122 - $177	67%
Private Health Care Systems Contracted [320320]	$122 - $177	67%
Humana	$129 - $188	71%
UnitedHealthcare	$205	113%

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 $121.
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 Mercy Hospital Southeast 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.