CMS Price Transparency Data

Family therapy session

Facility: The Nebraska Methodist Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $180
Cash Discount Price: $102
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Family therapy session at The Nebraska Methodist Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 8303 Dodge St, Omaha, NE.

Cash / Self-Pay

$102

Average discount available for prompt cash payment at this facility.

Insurance Median

$180

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: $102 (56%)

Insurance Median: $180 (99%)

Cash: $102 (56% of Medicare)

Ins. Median: $180 (99% 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
Medicare (plans)	$107 - $182	59%
Medica	$118 - $181	65%
Ne Furniture Mart	$127 - $190	70%
Medica Choice	$138 - $158	76%
Wellmark	$138 - $232	76%
Aetna	$171 - $249	94%
Midlands Choice	$175 - $198	97%
Humana	$179	99%
Blue Cross Blue Shield	$181 - $625	100%
UnitedHealthcare	$190	105%
Elite Choice	$205 - $376	113%
Ambetter / Centene	$224 - $376	124%

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 $102.
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 The Nebraska Methodist 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.