CMS Price Transparency Data

Family therapy session

Facility: Incline Village Community Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $410
Cash Discount Price: $456
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Incline Village Community Hospital is $410. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $456. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.26x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$456

Average discount available for prompt cash payment at this facility.

Insurance Median

$410

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: $456 (251%)

Insurance Median: $410 (226%)

Cash: $456 (251% of Medicare)

Ins. Median: $410 (226% 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 226% of the Medicare baseline (a markup of 126%). 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
Blue Cross Blue Shield	$97 - $410	53%
Ca Hlth And Wellness - All Plans	$99 - $465	55%
Medicare (plans)	$103 - $178	57%
UnitedHealthcare	$132 - $410	73%
Healthnet - All Plans	$139 - $433	77%
Aetna	$401	221%
Prominence Healthfirst - All Plans	$401	221%
Admar Multiplan - All Plans	$410	226%
First Health - All Plans	$410	226%
Great West/One Health - All Plans	$410	226%
Hometown Hp - All Plans	$410	226%
Humana	$410	226%
Interplan - All Plans	$410	226%
Multiplan - All Plans	$410	226%
Phcs - All Plans	$410	226%
Cigna	$420	232%
Beech Street/Capp Care - All Plans	$433	239%
Uhn - All Plans	$433	239%
Sierra Health - All Plans	$442	244%

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 $456.
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 Incline Village Community 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.