CMS Price Transparency Data

Family therapy session

Facility: North Carolina Baptist Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $127
  • Cash Discount Price: $182
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Family therapy session at North Carolina Baptist Hospital is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.70x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$182

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $182 (100%)
Insurance Median: $127 (70%)
Cash: $182 (100% of Medicare)
Ins. Median: $127 (70% 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
Medcost $70 - $248 39%
Blue Cross Blue Shield $73 - $156 40%
Amerihealth $80 - $101 44%
Carolina Complete $80 - $84 44%
Health Blue $80 - $84 44%
Partners $80 - $84 44%
Alliance $81 - $86 45%
UnitedHealthcare $81 - $156 45%
Vaya $81 - $85 45%
Wellcare $81 - $156 45%
Trillium $82 - $87 45%
Aetna $84 - $317 46%
Ambetter / Centene $95 - $101 52%
Oscar $106 - $134 58%
Cigna $108 - $224 60%
Apex $156 86%
Devoted $156 86%
Healthteam $156 86%
Humana $157 - $204 87%
Medicare (plans) $157 87%
Liberty $179 99%
Directnet $209 - $220 115%
Cone Health $247 - $261 136%
Healthgram $247 - $261 136%
First Carolina Care $282 - $298 156%
Private Healthcare Systems $289 - $306 159%
Multiplan $318 - $336 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals