CMS Price Transparency Data

Family therapy session

Facility: Montefiore Mount Vernon Hospital

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$194

about 1.1× the $181 Medicare rate · typically $125–$249

modeled estimate · not a bill or quote

What this hospital charges insurers

$141

Below the fair price — a good deal

about $53 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $194 This hospital $141

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $78 Priciest $141

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Family therapy session is about $194 (about 1.1× the $181 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $141 — below the fair price — a good deal. Located in Mount Vernon, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$102 - $222	56%
Blue Cross Blue Shieldmajor	$123 - $448	68%
Aetnamajor	$446 - $500	246%
Humanamajor	$244	135%
Fidelis Care	$123 - $222	68%
Molina	$123 - $306	68%
MVP Health Care	$123 - $251	68%
SelectHealth	$141	78%
WellCare	$124 - $226	68%
+ 13 smaller / regional plans	$102 - $288

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90847.

Insurance Before you use insurance

Call your insurance company to confirm Montefiore Mount Vernon Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90847.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Montefiore Mount Vernon Hospital

Compare: Family therapy session at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.