CMS Price Transparency Data

Family therapy session

Facility: UPMC Chautauqua at Wca

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $131
Cash Discount Price: $104
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Family therapy session at UPMC Chautauqua at Wca is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.72x the Medicare baseline. Located in 207 Foote Avenue, Jamestown, NY.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $104 (57%)

Insurance Median: $131 (72%)

Cash: $104 (57% of Medicare)

Ins. Median: $131 (72% 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
United Behavioral Health	$58	32%
Fidelis	$65 - $461	36%
Ccbhn	$79	44%
Aetna	$85 - $113	47%
Geisinger	$96	53%
Upmc Health Plan	$104	57%
Univera	$105 - $215	58%
UnitedHealthcare	$111 - $205	61%
Humana	$130 - $139	72%
Magnacare	$130 - $167	72%
Multiplan	$130	72%
Ghi/Emblem Health	$139	77%
Statewide Independent Ppo	$153	84%
Affordable First Health	$157	87%
Independent Health	$185 - $235	102%
Beacon	$205	113%
Blue Cross Blue Shield	$205 - $340	113%
Molina Healthcare Of Ny	$205 - $461	113%
Corvel	$276	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 $104.
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 UPMC Chautauqua at Wca 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.