CMS Price Transparency Data

Family therapy session

Facility: Montefiore New Rochelle Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $190
Cash Discount Price: $343
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Montefiore New Rochelle Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $343. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.

Cash / Self-Pay

$343

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $343 (189%)

Insurance Median: $190 (105%)

Cash: $343 (189% of Medicare)

Ins. Median: $190 (105% 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	$102 - $190	56%
Healthfirst	$108 - $190	60%
Molina Healthcare Of Ny Affinity	$120 - $271	66%
Amidacare	$123 - $200	68%
Emblem	$123 - $422	68%
Empire	$123 - $422	68%
Fidelis	$123 - $190	68%
Medicaid / KanCare	$123	68%
Metroplus	$123 - $247	68%
Mvp	$123 - $251	68%
Wellcare	$124 - $194	68%
Hamaspik	$129 - $205	71%
Vnsny Choice	$141 - $190	78%
Vnsny Select Health	$141	78%
Centerlight	$175	97%
Villagecaremax	$190	105%
Partners_Health_Plan	$200	110%
Humana	$209	115%
Centivo	$343	189%
Aetna	$444 - $497	245%

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 $343.
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 Montefiore New Rochelle 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.