CMS Price Transparency Data

Family therapy session

Facility: St Peter's Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $159
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Family therapy session at St Peter's Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 315 South Manning Boulevard, Albany, NY.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $165 (91%)
Insurance Median: $159 (88%)
Cash: $165 (91% of Medicare)
Ins. Median: $159 (88% 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
UnitedHealthcare $19 - $618 10%
Medicaid / KanCare $49 - $254 27%
Medicare (plans) $50 - $520 28%
Blue Cross Blue Shield $83 - $618 46%
Blue Shield - Ca $83 46%
Blue Shield - Id (Regence) $83 46%
Blue Shield - Ny Highmark Northeastern $83 46%
Blue Shield - Ny Highmark Western $83 46%
Blue Shield - Pa (Highmark) $83 46%
Blue Shield - Wa (Regence) $83 46%
Aetna $102 - $159 56%
Allegiance $119 66%
American Postal Workers Secondary $119 66%
Cigna $119 66%
Diversified Administrators $119 66%
Health Partners $119 66%
Priority Health $119 66%
Tufts Health Plan $119 66%
Webtpa $119 66%
Harvard Pilgrim Healthcare $140 77%
1199 National Benefit Fund $159 88%
Allied Benefit Systems $159 88%
Asr Health Benefits $159 88%
Christian Brother Services $159 88%
Geha $159 88%
Lucent Health $159 88%
Luminare Health $159 88%
Medical Mutual $159 88%
Meritain $159 88%
Trustmark Small Business Benefits $159 88%
Emblem Health $190 105%
Nova $190 105%
Galaxy Health Network $203 112%
Capital District Physicians Health Plan $209 115%
Health Republic $216 119%
Independent Health $216 119%
Magnacare $216 119%
Health New England $229 126%
Multiplan $229 126%
Phcs $229 126%
Albany County Correctional Facility $254 140%
Carelon Behavioral Health $462 - $540 255%
Mvp $481 - $517 265%
Bcn Domestic $618 341%
Blue Care Network $618 341%
Unicare $618 341%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 South Manning Boulevard, Albany, NY 12208
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals