CMS Price Transparency Data

Family therapy session

Facility: Hermann Area District Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $146
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Hermann Area District Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.81x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$146

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: $153 (84%)
Insurance Median: $146 (81%)
Cash: $153 (84% of Medicare)
Ins. Median: $146 (81% 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
UnitedHealthcare $87 - $120 48%
Tricare $89 - $113 49%
Choicecare Mcr Adv- All Plans $94 - $120 52%
American Hlth Mcr Adv- All Plans $99 - $126 55%
Blue Cross Blue Shield $99 - $232 55%
Humana $99 - $126 55%
Aetna $101 - $271 56%
Wellcare Mcr Adv - All Plans $101 - $128 56%
Healthy Blue Mcaid - All Plans $103 57%
Ambetter / Centene $107 - $201 59%
Harmony Hp Mcaid- All Plans $130 - $166 72%
Cigna $133 - $170 73%
Care Partners Mcaid- All Plans $134 - $171 74%
Healthcare Usa Mcaid- All Plans $146 - $186 81%
Healthlink Hmo $146 - $186 81%
Healthlink Ppo - All Other Plans $168 - $214 93%
Multiplan/Phcs - All Plans $168 - $214 93%
Coventry - All Plans $190 - $243 105%
Comp Results - All Plans $202 - $257 111%
Three Rivers - All Plans $202 - $257 111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 W 18Th St, Hermann, MO 65041
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals