CMS Price Transparency Data

Family therapy session

Facility: Elmhurst Hospital Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $186
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Elmhurst Hospital Center is $186. 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 1.03x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

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: $186 (103%)
Ins. Median: $186 (103% 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
Healthfirst $89 - $338 49%
United Behavioral Health $108 - $165 60%
Carelon $118 - $150 65%
Wellcare $120 66%
Aetna $132 - $257 73%
Metroplus $138 - $338 76%
Amidacare $150 83%
Blue Cross Blue Shield $150 - $338 83%
Fidelis $150 - $338 83%
Senior Whole Health $150 83%
United $150 - $971 83%
Affinity $153 - $338 84%
Carelon (Amida Care) $153 84%
Vnsny $153 - $190 84%
Oxford $184 - $728 101%
Elderplan $190 105%
Vaccn $190 105%
Centers Plan For Healthy Living $198 109%
Emblem $225 - $240 124%
Oscar $285 157%
Magnacare $374 - $910 206%
Centerlight $607 335%
Cigna $910 502%
Multiplan $971 535%
Local 1199 $1,031 569%
Villagecare Max $1,031 569%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals