CMS Price Transparency Data

Family therapy session

Facility: Cleveland Clinic

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $184
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Cleveland Clinic is $184. 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 1.01x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $184 (101%)
Cash: $214 (118% of Medicare)
Ins. Median: $184 (101% 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
UnitedHealthcare $60 - $604 33%
Paramount $65 - $150 36%
Summacare $66 - $222 36%
Buckeye $67 - $153 37%
Caresource $67 - $145 37%
United $68 - $254 37%
Amerihealth $70 39%
Molina $70 - $153 39%
Cigna $78 - $274 43%
Cc Ehp $91 - $377 50%
Oscar $99 - $252 55%
Aetna $102 - $944 56%
Blue Cross Blue Shield $102 - $279 56%
Devoted Health $102 - $149 56%
Humana $102 - $280 56%
The Health Plan $102 - $519 56%
Upmc $102 - $566 56%
Valor $102 - $149 56%
Communicare $107 - $156 59%
Perennial Health $110 - $161 61%
Pphp $110 - $164 61%
Zing Health $112 - $164 62%
United Bh $134 - $397 74%
Amish Community Aid Plan $148 - $425 82%
Mmo $149 - $661 82%
Ohcp $160 - $367 88%
Aultcare $161 - $406 89%
Omas $164 - $472 90%
Ohio Healthy $178 - $378 98%
Healthsmart $181 - $519 100%
Php $197 109%
Phphi $197 - $566 109%
Clarity Health $214 - $614 118%
Gms $230 - $661 127%
Medical Benefit Corp $230 127%
Parkview Health Plan $230 127%
Quality Care Partners $230 - $661 127%
Consociate Health $247 - $708 136%
Community Health Alliance $263 145%
Frontpath $296 163%
Managed Care Services $296 163%
Multiplan $296 - $850 163%
Tertiary Care Network $296 163%
Three Rivers $296 - $850 163%
Usa Managed Care $850 469%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals