CMS Price Transparency Data
Family therapy session
Facility: St Catherine of Siena Hospital
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $246
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Family therapy session at St Catherine of Siena Hospital is $246. 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 1.36x the Medicare baseline. Located in 50 Route 25A, Smithtown, NY.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$246
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: $246 (136%)
Ins. Median: $246 (136% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Fidelis Care New York | $65 - $554 | 36% |
| UnitedHealthcare | $117 - $554 | 65% |
| Zadroga | $158 | 87% |
| Surest | $168 | 93% |
| Magellan | $170 | 94% |
| Blue Cross Blue Shield | $186 - $298 | 103% |
| Aetna | $190 - $280 | 105% |
| Beacon Health Strategies | $190 - $296 | 105% |
| Centerlight Healthcare | $190 - $246 | 105% |
| Centers Plan For Healthy Living | $190 | 105% |
| Elderplan Inc. | $190 - $246 | 105% |
| Emblem Health | $190 - $428 | 105% |
| Health Plus | $190 - $554 | 105% |
| Healthspring | $190 | 105% |
| Independent Health | $190 - $246 | 105% |
| Liberty Health | $190 | 105% |
| Longevity Health Plan | $190 | 105% |
| Medicare (plans) | $190 - $200 | 105% |
| Mvp Health Plans | $190 - $280 | 105% |
| Orthonet - Uniformed Services Family Health Plan | $190 | 105% |
| Pmc | $190 | 105% |
| Senior Whole Health | $190 - $246 | 105% |
| Tricare | $190 | 105% |
| Universal Healthcare | $190 | 105% |
| Us Family Health Plan | $190 | 105% |
| Veterans Affairs | $190 | 105% |
| Health First | $192 - $554 | 106% |
| Humana | $194 | 107% |
| Agewell New York | $197 | 109% |
| Partners Health Plan | $200 | 110% |
| Wellcare Health Plan Inc | $209 | 115% |
| Oscar Health | $229 | 126% |
| Affinity Health Plan | $246 - $554 | 136% |
| Beacon Health Options | $246 - $760 | 136% |
| Medicaid / KanCare | $246 | 136% |
| Apwu | $280 | 154% |
| Centivo | $280 | 154% |
| Cigna | $280 - $363 | 154% |
| Daniel H Cook | $280 | 154% |
| Mail Handlers Benefit Plan | $280 | 154% |
| Meritain Health | $280 | 154% |
| Nalc | $280 | 154% |
| Nippon Life Insurance Company Of America | $280 | 154% |
| Salvation Army | $280 | 154% |
| Samba | $280 | 154% |
| Self Pay | $298 | 164% |
| Local 1199 | $300 | 165% |
| Allied Wellfare Fund | $363 | 200% |
| American Group Administrators | $363 | 200% |
| Bakery & Confectionery Union | $363 | 200% |
| Brighton | $363 - $514 | 200% |
| Comprehensive Benefits Consultant | $363 | 200% |
| Guardian Life Insurance Company Of America | $363 | 200% |
| Maloney And Assoc | $363 | 200% |
| Multiplan | $363 | 200% |
| Performax | $363 | 200% |
| Phcs | $363 | 200% |
| Pomco | $363 | 200% |
| Tpa Inc | $363 | 200% |
| Unicare | $363 | 200% |
| United Employees Health Plan | $363 | 200% |
| Coventry | $414 - $447 | 228% |
| American Plan Administrators | $428 | 236% |
| Amerihealth Administrators | $428 | 236% |
| Benefit Services | $428 | 236% |
| Ghi Cbp Ny City Employee Alternate | $428 | 236% |
| International Benefit Administrator | $428 | 236% |
| Ultra Benefits Inc. | $428 | 236% |
| Galaxy | $503 | 277% |
| Three Rivers Provider Network | $503 | 277% |
| Aither Health | $559 | 308% |
| Alpha Care | $559 | 308% |
| Dentaquest | $559 | 308% |