CMS Price Transparency Data

Family therapy session

Facility: Nationwide Children's Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $274
  • Cash Discount Price: $279
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Nationwide Children's Hospital is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $279. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.51x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.
Cash / Self-Pay
$279

Average discount available for prompt cash payment at this facility.

Insurance Median
$274

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: $279 (154%)
Insurance Median: $274 (151%)
Cash: $279 (154% of Medicare)
Ins. Median: $274 (151% 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
Amerihealth $95 - $214 52%
Bchp $95 - $214 52%
Blue Cross Blue Shield $95 - $316 52%
Caresource $95 - $272 52%
Humana $95 - $294 52%
Molina $95 - $214 52%
UnitedHealthcare $95 - $294 52%
Tricare $97 53%
Aetna $256 - $404 141%
Ohg $256 - $404 141%
Ohio Ppo Connect $259 - $305 143%
Osu $259 - $305 143%
Ohc $265 - $404 146%
Ahpo $268 - $291 148%
Cigna $268 - $404 148%
Front Path Health Coalition $268 - $404 148%
Mmo $268 - $387 148%
Unicare $271 - $294 149%
The Health Plan $274 - $404 151%
Emerald Health $279 - $304 154%
First Health $279 - $304 154%
Phcs $279 - $304 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 Children's Drive, Columbus, OH 43205
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens