CMS Price Transparency Data
Family therapy session
Facility: Wooster Community Hospital
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $261
- Cash Discount Price: $319
- vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Wooster Community Hospital is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $319. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.44x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$319
Average discount available for prompt cash payment at this facility.
Insurance Median
$261
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: $319 (176%)
Insurance Median: $261 (144%)
Cash: $319 (176% of Medicare)
Ins. Median: $261 (144% 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 |
|---|---|---|
| Buckeye Mcaid-All Other Plans | $122 | 67% |
| Caresource Mcaid | $122 | 67% |
| UnitedHealthcare | $122 - $330 | 67% |
| Molina Mcaid | $124 | 68% |
| Blue Cross Blue Shield | $126 - $320 | 69% |
| Aetna | $128 - $348 | 71% |
| Amerihealth Mcaid-All Plans | $128 | 71% |
| Aultcare/Primecare Mcr Adv | $142 - $170 | 78% |
| Tricare | $168 | 93% |
| Buckeye Mcare | $172 | 95% |
| Caresource Mcr Adv | $172 | 95% |
| Humana | $172 - $327 | 95% |
| Med Mutual Of Oh Mcr | $172 | 95% |
| Molina Mcr | $172 | 95% |
| Summacare Mcr | $172 | 95% |
| The Health Plan Mcr Adv | $172 | 95% |
| Valor Hp Mcr-All Plans | $172 | 95% |
| Healthsmart Complete Ppo-All Other Plans | $195 | 108% |
| Cerco-All Plans | $203 - $243 | 112% |
| Aultcare Wayne County | $217 - $261 | 120% |
| Aultcare/Primetime Exch | $217 - $261 | 120% |
| Rayco-All Plans | $217 - $261 | 120% |
| Magnipower-All Plans | $223 | 123% |
| Christian Health Ministries-All Plans | $232 - $278 | 128% |
| Cigna | $232 - $278 | 128% |
| Health Ohio Network Employer | $232 - $278 | 128% |
| Wayne County-All Plans | $232 - $278 | 128% |
| Healthsmart Accel | $240 - $288 | 132% |
| Summacare Preferred Choice | $240 - $288 | 132% |
| Caresource Exch - All Other Plans | $245 | 135% |
| Health Ohio Network Ppo-All Other Plans | $246 - $295 | 136% |
| Ohio Health Choice Supp | $246 - $295 | 136% |
| Ohio Health Group Hlthy - All Other Plans | $246 - $295 | 136% |
| Med Mutual Of Oh Exchange | $249 - $299 | 137% |
| Med Mutual Of Oh Supermed | $249 - $299 | 137% |
| Med Mutual Of Oh Trad-All Other Plans | $249 - $299 | 137% |
| Health Plan Of Upper Ohio-All Plans | $255 - $306 | 141% |
| The Health Plan Comm - All Other Plans | $255 - $306 | 141% |
| Ohio Health Group Pref | $258 - $309 | 142% |
| Aultcare/Primetime-All Other Plans | $261 - $313 | 144% |
| Healthsmart Ppo | $264 - $316 | 146% |
| Summacare-All Other Plans | $269 - $323 | 148% |
| Ohio Health Choice-All Other Plans | $272 - $327 | 150% |
| Healthsmart Hpo | $275 - $330 | 152% |
| Osu-All Plans | $275 - $330 | 152% |
| Central Benefits-All Plans | $278 - $334 | 153% |
| First Health-All Plans | $278 - $334 | 153% |
| Flora-All Plans | $278 - $334 | 153% |
| Beech Street-All Plans | $281 - $337 | 155% |
| Phcs-All Plans | $281 - $337 | 155% |
| Molina Marketplace - All Other Plans | $292 | 161% |
| Clarity Health - All Plans | $335 | 185% |