CMS Price Transparency Data

Family therapy session

Facility: Saratoga Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $103
  • Cash Discount Price: $219
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Saratoga Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.57x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$219

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $219 (121%)
Insurance Median: $103 (57%)
Cash: $219 (121% of Medicare)
Ins. Median: $103 (57% 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
Medicaid / KanCare $52 - $86 29%
Fidelis $60 - $333 33%
Cdphp $69 - $333 38%
Blue Cross Blue Shield $76 - $274 42%
Medicare (plans) $76 - $102 42%
Tricare $76 - $102 42%
Cigna $77 - $179 42%
Mvp $77 - $179 42%
Hamaspik $84 - $348 46%
Blue Shield Highmark $87 - $116 48%
UnitedHealthcare $99 - $394 55%
Emblem Health Ghi $101 - $112 56%
Aetna $103 - $108 57%
Mvp Essential Plan $148 - $296 82%
Mvp Govt Programs $148 82%
Nascentia Health Options $159 88%
Emblem $163 - $190 90%
Blue Shield $189 - $321 104%
Empire Plan Nyship $200 110%
Mvp Commercial $307 - $328 169%
Multiplan $328 - $372 181%
Magnacare $394 - $416 217%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals