CMS Price Transparency Data

Family therapy session

Facility: Novant Health Presbyterian Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $379
Cash Discount Price: $304
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Novant Health Presbyterian Medical Center is $379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.09x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$304

Average discount available for prompt cash payment at this facility.

Insurance Median

$379

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: $304 (168%)

Insurance Median: $379 (209%)

Cash: $304 (168% of Medicare)

Ins. Median: $379 (209% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Carolina Complete	$105 - $107	58%
Nc Department Of Public Safety	$105 - $345	58%
Amerihealth	$108 - $109	60%
Blue Cross Blue Shield	$108 - $441	60%
UnitedHealthcare	$108 - $357	60%
Wellcare	$108 - $109	60%
Humana	$172 - $441	95%
Pace Of The Southern Piedmont	$172	95%
Aetna	$177 - $490	98%
Cigna	$178 - $315	98%
Liberty Health	$181	100%
Caresource North Carolina	$200 - $202	110%
Atlantic Corporation Dba Atlantic Packaging	$278 - $282	153%
Amps	$333 - $337	184%
Plotkin Health	$363 - $367	200%
Medcost	$430 - $459	237%
Primary Physician Care	$448 - $453	247%
Multiplan	$454 - $459	250%
Phcs	$454 - $459	250%
Employers Choice Network	$587 - $594	324%
Three Rivers Provider Network	$587 - $594	324%

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 $304.
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 Novant Health Presbyterian Medical Center 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.