CMS Price Transparency Data

Family therapy session

Facility: Carolina East Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $156
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Carolina East Medical Center is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.86x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $122 (67%)
Insurance Median: $156 (86%)
Cash: $122 (67% of Medicare)
Ins. Median: $156 (86% 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
Pamlico Co Jail-All Plans $47 - $61 26%
UnitedHealthcare $61 - $164 34%
Craven Co. Jail Systems - All Plans $78 - $178 43%
Humana $102 - $170 56%
Inclusive Health (Nchirp)-All Plans $102 - $170 56%
Tricare $102 - $230 56%
Medcost Ppo Employees And Retirees $115 - $151 63%
Medcost Ppo Ultra (Employees) $115 - $144 63%
Blue Cross Blue Shield $122 - $158 67%
Medcost Ppo City Employees $127 - $168 70%
Medcost Ppo County Employee $133 - $174 73%
Benefit Mgmt, Svcs-All Plans $149 - $196 82%
Aetna $155 - $204 85%
Medcost Benefit Svc-All Other Plans $155 - $203 85%
Acs Consult Svc Inc-All Plans $158 - $208 87%
Medcost Ppo Standard $158 - $208 87%
Cigna $159 - $209 88%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals