CMS Price Transparency Data

Family therapy session

Facility: Fisher-Titus Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $142
Cash Discount Price: $208
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Fisher-Titus Hospital is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.78x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$208

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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: $208 (115%)

Insurance Median: $142 (78%)

Cash: $208 (115% of Medicare)

Ins. Median: $142 (78% 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
Humana	$68 - $102	37%
Aetna	$69 - $201	38%
Martin'S Point	$76 - $102	42%
Blue Cross Blue Shield	$86 - $210	47%
Caresource	$86 - $151	47%
Amerihealth	$88	49%
Buckeye	$88 - $151	49%
Molina	$88	49%
UnitedHealthcare	$88 - $210	49%
Medical Mutual Of Ohio	$91 - $151	50%
Sidecar	$101 - $320	56%
Devoted	$102	56%
Medigold	$102	56%
Meridan	$102	56%
Paramount	$102 - $208	56%
Perennial Advantage	$102 - $158	56%
Summacare	$102 - $203	56%
Zinghealth	$104	57%
Valor Health	$105 - $155	58%
Gateway	$107	59%
Perennial	$107	59%
Wellcare	$107 - $151	59%
Coresource	$116	64%
First Health	$116 - $208	64%
Health Scope	$122	67%
Emerald Health	$127 - $224	70%
Frontpath	$132	73%
Ohio Health Choice	$132 - $208	73%
Cigna	$142 - $185	78%
Clarity Health	$142	78%
Multiplan	$142 - $208	78%
Zing Health	$151	83%
Health Ohio Network	$152 - $162	84%
Tricare	$173 - $185	95%
Claimsdoc	$185	102%
Healthscope	$210	116%

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 $208.
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 Fisher-Titus 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.