CMS Price Transparency Data

Family therapy session

Facility: S E Lackey Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $102
Cash Discount Price: $227
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a Family therapy session at S E Lackey Memorial Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.56x the Medicare baseline. Located in 330 N Broad Street, Forest, MS.

Cash / Self-Pay

$227

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $227 (125%)

Insurance Median: $102 (56%)

Cash: $227 (125% of Medicare)

Ins. Median: $102 (56% 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
Magnolia Comm/Exch - All Other Plans	$45 - $170	25%
Magnolia Mcr Adv	$45 - $170	25%
Wellcare Mcr Adv - All Plans	$45 - $170	25%
United Bh Mcr	$60	33%
Cigna	$64 - $243	35%
Blue Cross Blue Shield	$80 - $311	44%
First/Health Choice - All Plans	$86 - $324	47%
UnitedHealthcare	$86 - $120	47%
United Bh Mcaid	$87	48%
Health Partners - All Plans	$89 - $336	49%
Aetna	$91 - $344	50%
Magnolia Mcaid	$91 - $105	50%
Corvel - All Plans	$96 - $364	53%
Multiplan - All Plans	$96 - $364	53%
United Bh Comm - All Other Plans	$99	55%
Va Ccn - All Plans	$102	56%

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 $227.
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 S E Lackey Memorial Hospital 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.