CMS Price Transparency Data

Family therapy session

Facility: Montefiore Mount Vernon Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $198
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Montefiore Mount Vernon Hospital is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.09x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

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%)
Insurance Median: $198 (109%)
Ins. Median: $198 (109% 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
American Postal Workers $102 56%
Healthfirst $102 - $222 56%
UnitedHealthcare $102 - $222 56%
Metroplus $110 - $288 61%
Amidacare $123 68%
Blue Cross Blue Shield $123 - $448 68%
Emblem $123 - $266 68%
Fidelis $123 - $222 68%
Medicaid / KanCare $123 68%
Molina Healthcare Of Ny Affinity $123 - $306 68%
Mvp $123 - $251 68%
Wellcare $124 - $226 68%
Hamaspik $129 - $132 71%
Vnsny Choice $141 - $222 78%
Vnsny Select Health $141 78%
Centerlight $175 - $244 97%
Point Comfort $222 122%
Villagecaremax $222 122%
Partners Health Plan $233 128%
Longevity $242 133%
Elderplan $244 135%
Humana $244 135%
Aetna $446 - $500 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals