CMS Price Transparency Data

Family therapy session

Facility: Nicholas H Noyes Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $101
Cash Discount Price: $96
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Nicholas H Noyes Memorial Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.56x the Medicare baseline. Located in 111 Clara Barton Street, Dansville, NY.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $96 (53%)

Insurance Median: $101 (56%)

Cash: $96 (53% of Medicare)

Ins. Median: $101 (56% 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	$51 - $436	28%
Blue Cross Blue Shield	$68 - $386	37%
Medicaid / KanCare	$69 - $121	38%
Aetna	$85 - $222	47%
Excellus 2201	$85 - $101	47%
Medicare (plans)	$85 - $239	47%
Mvp 2900	$91 - $497	50%
Cigna	$126 - $262	69%
Independent Health 5156	$128 - $152	71%
Fidelis 5155	$135 - $136	74%
Humana	$222	122%
Capital District Physicians Health Plan (Cdphp) 5149	$247 - $248	136%
Empire Plan 5179	$356	196%
Pomco Ins Co 5157	$472	260%

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 $96.
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 Nicholas H Noyes 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.