CMS Price Transparency Data

Family therapy session

Facility: Columbia Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $111
Cash Discount Price: $120
vs. Medicare Baseline: 0.61x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Columbia Memorial Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.61x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $120 (66%)

Insurance Median: $111 (61%)

Cash: $120 (66% of Medicare)

Ins. Median: $111 (61% 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
UnitedHealthcare	$43 - $131	24%
Medicaid / KanCare	$52 - $145	29%
Cdphp	$73 - $327	40%
Mvp	$76 - $305	42%
Blue Cross Blue Shield	$81 - $2,449	45%
Medicare (plans)	$81 - $109	45%
Tricare	$81 - $109	45%
Blue Shield Highmark	$87 - $112	48%
Hamaspik	$89 - $198	49%
Fidelis	$103 - $327	57%
Aetna	$112 - $411	62%
Magnacare	$124 - $440	68%
Cigna	$134 - $139	74%
Empire Plan Nyship	$137	76%
Multiplan	$145 - $514	80%
Emblem Health Ghi	$149	82%
Herrington Diversified Pdh	$161 - $285	89%
Mvp Commercial	$161 - $396	89%
Emblem	$163 - $343	90%
Blue Shield	$276 - $396	152%

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 $120.
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 Columbia Memorial 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.