CMS Price Transparency Data

Family therapy session

Facility: Stanly Regional Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $44
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Stanly Regional Medical Center is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.24x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $28 (15%)
Insurance Median: $44 (24%)
Cash: $28 (15% of Medicare)
Ins. Median: $44 (24% 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
Aetna $15 - $242 8%
Ambetter / Centene $17 - $21 9%
Blue Cross Blue Shield $22 - $259 12%
UnitedHealthcare $22 - $264 12%
Cigna $24 - $160 13%
Employers Health Network $24 - $32 13%
Physician Reach Out $28 15%
Magellan $33 18%
Medcost $35 - $53 19%
Gmmi $36 20%
Quik Trip $36 20%
Carolina Behavioral Health $40 - $44 22%
First Health $50 28%
Healthgram $50 28%
Choicecare $52 - $208 29%
Lifesynch Community Choice Care $52 29%
Multiplan $52 29%
Private Health Care Systems $52 29%
Beechstreet $53 29%
Trillium $84 46%
Alliance $85 47%
Amerihealth Caritas $85 47%
Carolina Complete Health $85 47%
Healthy Blue $85 47%
Partners $85 47%
Vaya $85 47%
Wellcare $85 47%
Humana $103 - $156 57%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals