CMS Price Transparency Data

Family therapy session

Facility: Portsmouth Regional Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $614
Cash Discount Price: $1,073
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Portsmouth Regional Hospital is $614. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,073. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.39x the Medicare baseline. Located in 333 Borthwick Ave, Portsmouth, NH.

Cash / Self-Pay

$1,073

Average discount available for prompt cash payment at this facility.

Insurance Median

$614

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: $1,073 (592%)

Insurance Median: $614 (339%)

Cash: $1,073 (592% of Medicare)

Ins. Median: $614 (339% 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 339% of the Medicare baseline (a markup of 239%). 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
Amerihealth Caritas	$44	24%
Well Sense Health Plan	$88	49%
United	$276 - $708	152%
Maine Community Health	$336 - $569	185%
Cigna	$391 - $452	216%
Tufts Health Plan	$403 - $614	222%
Blue Cross Blue Shield	$475	262%
Aetna	$679	374%
Mvp Health Plan	$751	414%
Corvel	$773	426%
Mutual Of Omaha	$858	473%
Multiplan	$869	479%
First Health	$976	538%
Healthcare Value Mgmt	$976	538%
Oxford Health Plans	$1,019	562%

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 $1,073.
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 Portsmouth Regional 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.