CMS Price Transparency Data

Family therapy session

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $357
  • Cash Discount Price: $423
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Rainbow Babies and Childrens Hospital is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $423. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.97x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$423

Average discount available for prompt cash payment at this facility.

Insurance Median
$357

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: $423 (233%)
Insurance Median: $357 (197%)
Cash: $423 (233% of Medicare)
Ins. Median: $357 (197% 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
Aetna $149 - $448 82%
Blue Cross Blue Shield $149 - $367 82%
Cigna $149 - $364 82%
Devoted Health $149 82%
Humana $149 82%
Medical Mutual Of Ohio $149 - $447 82%
Molina $149 82%
Primetime Health Plan $149 82%
Summacare $149 - $412 82%
The Health Plan $149 - $395 82%
UnitedHealthcare $149 - $396 82%
Wellcare By Allwell $149 82%
Paramount $153 84%
Perennial Advantage Of Ohio $156 86%
Valor Health Plans $156 86%
University Health Employee Plan (Contigo) $226 - $282 125%
Amish Aid Community Plan $282 156%
Amish Church Fund And Workers Aid Plan $282 156%
Buckeye Plain Ministries $282 156%
Christian Healthcare Ministries $282 156%
Sunrise Plain Communities $282 156%
Caresource $305 168%
Ambetter / Centene $316 174%
Jp Farley $316 - $338 174%
Immergrun $338 186%
Aultcare $355 - $372 196%
Healthsmart $367 202%
Ohio Health Choice $367 - $508 202%
Health Ohio Network $378 208%
Clarity $395 218%
Enterprise Group Planning $395 218%
Medical Mutual Traditional/Health Ohio $395 218%
Beech Street $451 - $508 249%
Ohio Preferred Network $451 - $508 249%
Century Health Network $479 264%
First Health $479 264%
Private Healthcare System $485 267%
Configurenet $508 280%
Fortified Provider Network $508 280%
Multiplan $508 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens