CMS Price Transparency Data

Family therapy session

Facility: Ocean Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $293
Cash Discount Price: $168
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Ocean Medical Center is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.62x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$293

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: $168 (93%)

Insurance Median: $293 (162%)

Cash: $168 (93% of Medicare)

Ins. Median: $293 (162% 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
Aetna	$71 - $447	39%
Clover	$89	49%
Seoul Medical Group	$96 - $107	53%
Blue Cross Blue Shield	$154 - $176	85%
Amerigroup	$161	89%
Horizon	$161 - $410	89%
Vaccn	$161 - $176	89%
Wellcare	$161 - $176	89%
Karna	$166 - $170	92%
United Community/Americhoice	$169 - $184	93%
UnitedHealthcare	$211 - $343	116%
Qualcare	$243 - $437	134%
Oxford	$327	180%
Activecare First McO	$348 - $422	192%
Intergroup	$348	192%
Bergen Risk	$373	206%
Cigna	$398 - $478	219%
Prime Health	$398	219%
Multiplan - PHCS	$422	233%
Amerihealth	$427 - $484	235%
Brighton Health Plan	$447	246%

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 $168.
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 Ocean Medical Center 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.