CMS Price Transparency Data

Family therapy session

Facility: Sunrise Hospital and Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $116
Cash Discount Price: $331
vs. Medicare Baseline: 0.64x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Sunrise Hospital and Medical Center is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $331. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.64x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$331

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $331 (183%)

Insurance Median: $116 (64%)

Cash: $331 (183% of Medicare)

Ins. Median: $116 (64% 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
Amerigroup	$68 - $92	37%
Health Plan Nevada	$68 - $97	37%
Humana	$70 - $127	39%
Molina	$72 - $102	40%
Silver Summit	$72 - $128	40%
Community Care Health	$91 - $92	50%
Molina Healthcare	$91 - $95	50%
Sierra Hpn	$91 - $92	50%
Caresource	$95	52%
Ambetter / Centene	$96	53%
Blue Cross Blue Shield	$97 - $194	53%
United	$97 - $145	53%
Healthcare Partners Of Nv	$99 - $132	55%
Aetna	$101 - $146	56%
Alignment Health Plan	$102 - $103	56%
Caremore	$107 - $108	59%
Culinary Health Fund	$116 - $154	64%
Hometown Health Providers	$116 - $179	64%
Sierra	$122 - $132	67%
Cigna	$124 - $216	68%
Multiplan	$132	73%
Legacy Provider Network	$147	81%
Corvel	$155 - $164	85%
Comp-Med Workers Comp	$158	87%
Olympus Medsave Usa	$163 - $173	90%
Select Health	$189 - $225	104%

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 $331.
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 Sunrise Hospital and 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.