CMS Price Transparency Data

Family therapy session

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $237
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Arthur G James Cancer Hospital and Research Institute is $237. 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 1.31x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$237

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: $237 (131%)
Ins. Median: $237 (131% 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
Healthspan $90 - $5,413 50%
Medicare (plans) $90 - $5,467 50%
Medigold $90 50%
Upper Ohio Valley $90 - $5,413 50%
Humana $91 - $5,521 50%
Medicaid / KanCare $104 - $142 57%
Aetna $109 - $5,388 60%
United $114 - $372 63%
Caresource $135 - $202 74%
Mmo $135 - $345 74%
Molina $135 - $5,388 74%
Odrc $142 - $166 78%
Blue Cross Blue Shield $150 - $388 83%
Buckeye Community $151 - $200 83%
Amerihealth $152 - $220 84%
Osu Health Plan $187 - $271 103%
Lifetrac $266 - $278 147%
Ohio Ppo $268 148%
Ohiohealth $294 - $299 162%
Cigna $296 - $307 163%
Frontpath $327 180%
Healthsmart $368 203%
Multiplan $380 210%
Ohio Dept Of Health $4,289 2365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 460 W 10Th Ave, Columbus, OH 43210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL