CMS Price Transparency Data

Family therapy session

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $356
Cash Discount Price: $212
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Cincinnati Children's Hospital Medical Center is $356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.96x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.

Cash / Self-Pay

$212

Average discount available for prompt cash payment at this facility.

Insurance Median

$356

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: $212 (117%)

Insurance Median: $356 (196%)

Cash: $212 (117% of Medicare)

Ins. Median: $356 (196% 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
Blue Cross Blue Shield	$53 - $475	29%
Mhs_In	$53	29%
Caresource_In	$56	31%
Aetna	$89 - $475	49%
Humana	$89 - $119	49%
Passport_Ky	$93 - $124	51%
United_Health_Care_Ky	$94 - $125	52%
Wellcare_Ky	$94 - $125	52%
Cigna	$152 - $304	84%
Medical_Mutual_Of_Ohio_Insurance	$191 - $451	105%
Parkview_Signature_Care_Insurance	$218 - $342	120%
Margaret_Mary_Health_Insurance	$236 - $370	130%
Caresource_Oh_Insurance	$238	131%
Beechstreet_Insurance	$287 - $451	158%
Point_Comfort_Insurance	$309	170%
United_Health_Care_Insurance	$310 - $387	171%
Health_Ohio_Network_Insurance	$380 - $451	210%
Health_Net_Advantage_Insurance	$404	223%
Evolutions_Health_Care_Systems	$428	236%
Custom_Design_Benefits_Insurance	$451	249%
First_Health_Group_Insurance	$451	249%
Health_Link_Insurance	$451	249%
Health_Smart_Preferred_Insurance	$451	249%
Medical_Benefit_Administrators_Insurance	$451	249%
Ohio_Health_Choice_Insurance	$451	249%
Galaxy_Health_Insurance	$475	262%
Private_Health_Care_Systems_Insurance	$475	262%

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 $212.
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 Cincinnati Children's Hospital Medical Center 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.