CMS Price Transparency Data

Family therapy session

Facility: Mercy Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $160
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Mercy Medical Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $214 (118%)
Insurance Median: $160 (88%)
Cash: $214 (118% of Medicare)
Ins. Median: $160 (88% 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.

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 $63 - $268 35%
Caresource $65 - $116 36%
Summacare $66 - $661 36%
Buckeye $67 - $116 37%
Amerihealth $70 - $124 39%
Molina $70 - $118 39%
Oscar $99 - $252 55%
Aetna $102 - $944 56%
Blue Cross Blue Shield $102 - $265 56%
Cigna $102 - $171 56%
Humana $102 - $148 56%
The Health Plan $102 - $329 56%
Mmo $105 - $661 58%
Communicare $107 - $156 59%
Perennial Health $110 - $160 61%
Zing Health $112 - $163 62%
Aultcare $117 - $135 65%
Cc Ehp $131 - $383 72%
Amish Community Aid Plan $148 - $164 82%
Ohcp $160 - $367 88%
Immergrun $164 - $708 90%
Omas $164 - $472 90%
Ohio Healthy $178 98%
Php $197 109%
Phphi $197 - $566 109%
Gms $230 - $661 127%
Medical Benefit Corp $230 127%
Consociate Health $247 136%
Frontpath $296 163%
Managed Care Services $296 163%
Multiplan $296 - $850 163%
Tertiary Care Network $296 163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals