CMS Price Transparency Data

Family therapy session

Facility: Howard County Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $197
  • Cash Discount Price: $217
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Howard County Medical Center is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.09x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$217

Average discount available for prompt cash payment at this facility.

Insurance Median
$197

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: $217 (120%)
Insurance Median: $197 (109%)
Cash: $217 (120% of Medicare)
Ins. Median: $197 (109% 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
Humana $85 - $100 47%
Medica Standard Premier $97 53%
Aetna $100 - $275 55%
Blue Cross Blue Shield $100 - $466 55%
Great Plains $100 - $165 55%
Medica Chi $100 - $165 55%
Tricare $100 - $217 55%
UnitedHealthcare $100 - $393 55%
Medica Elevate $102 - $191 56%
Nebraska Total Care - Wellcare $103 57%
Molina Healthcare $105 - $144 58%
Nebraska Total Care $108 - $144 60%
Midland'S Choice $141 78%
Oscar Health $175 97%
Medica Ifb Aco $194 - $277 107%
Medica Chi Aco $197 - $263 109%
Medica Choice National $197 - $263 109%
Ambetter / Centene $200 110%
Beshp $200 110%
Medica Ifb Open Access $208 - $277 115%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals