CMS Price Transparency Data

Family therapy session

Facility: Artesia General Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $242
Cash Discount Price: $196
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Artesia General Hospital is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.33x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$242

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: $196 (108%)

Insurance Median: $242 (133%)

Cash: $196 (108% of Medicare)

Ins. Median: $242 (133% 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
Presbyterian Health Plan	$80 - $209	44%
Zelis	$84 - $187	46%
First Health	$119 - $311	66%
Triwest	$153	84%
Blue Cross Blue Shield	$156 - $223	86%
Geha	$156 - $277	86%
Humana	$156 - $171	86%
Molina Healthcare Of New Mexico	$156 - $262	86%
UnitedHealthcare	$156 - $261	86%
Vistacare Hospice	$156	86%
Omni Networks	$215 - $242	119%
Three Rivers Provider Network	$230 - $260	127%
Cigna	$261 - $311	144%
New Mexico Health Connections	$265	146%
Galaxy Health	$276 - $311	152%
One Health Plan	$276 - $311	152%
Multiplan	$279 - $315	154%
United Payors & United Providers	$286 - $322	158%
Providence Risk & Insurance Services	$292 - $329	161%

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 $196.
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 Artesia General 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.