CMS Price Transparency Data

Family therapy session

Facility: Jfk University Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $269
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Jfk University Medical Center is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.48x the Medicare baseline. Located in 65 James Street, Edison, NJ.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

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: $169 (93%)
Insurance Median: $269 (148%)
Cash: $169 (93% of Medicare)
Ins. Median: $269 (148% 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
Aetna $80 - $376 44%
UnitedHealthcare $85 - $413 47%
Clover $89 49%
Horizon $94 - $462 52%
Seoul Medical Group $107 59%
Blue Cross Blue Shield $154 - $178 85%
Amerigroup $161 - $178 89%
Wellcare $161 - $178 89%
Vaccn $161 - $178 89%
United Community/Americhoice $169 - $187 93%
Karna $170 94%
Activecare First McO $348 192%
Intergroup $348 192%
Bergen Risk $373 206%
Cigna $398 - $478 219%
Prime Health $398 219%
Oxford $411 227%
Multiplan - PHCS $422 233%
Brighton Health Plan $447 246%
Qualcare $460 254%
Amerihealth $470 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 65 James Street, Edison, NJ 08818
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals