CMS Price Transparency Data

Family therapy session

Facility: Mercy Hospital Ada

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $292
Cash Discount Price: $317
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Mercy Hospital Ada is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $317. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.61x the Medicare baseline. Located in 430 North Monte Vista, Ada, OK.

Cash / Self-Pay

$317

Average discount available for prompt cash payment at this facility.

Insurance Median

$292

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: $317 (175%)

Insurance Median: $292 (161%)

Cash: $317 (175% of Medicare)

Ins. Median: $292 (161% 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
Aetna	$94 - $366	52%
Humana	$94	52%
Medicaid / KanCare	$94	52%
Blue Cross Blue Shield	$102 - $161	56%
Healthcare Highways Plus Contracted [320175]	$190 - $365	105%
Webtpa Contracted [320417]	$205	113%
Osma Health Contracted [320292]	$219	121%
UnitedHealthcare	$224 - $341	124%
Medica Contracted [320239]	$227 - $487	125%
Benefit Management Contracted [320052]	$244 - $317	135%
Aither Health Contracted [320449]	$292	161%
Auxiant Contracted [320462]	$292	161%
Ebms Contracted [320493]	$292	161%
Federal Medical Center Contracted [320127]	$292	161%
Healthlink Contracted [320179]	$292	161%
Healthscope Contracted [320182]	$292	161%
Imagine 360 Contracted [320494]	$292	161%
Mercy Benefit Admin Contracted [320251]	$292 - $317	161%
Point C Contracted [320238]	$292	161%
Preferred Health Plan Contracted [320522]	$292	161%
Quik Trip Contracted [320447]	$292	161%
Reflect Health Contracted [320492]	$292	161%
Show-Me Health Administrators Contracted [320483]	$292	161%
United Medical Resources Contracted [320454]	$292 - $341	161%
Workers Comp [20426]	$292	161%
Yuzu Health Contracted [320521]	$292	161%
Globalhealth Contracted [320144]	$307	169%
Health Choice Contracted [320166]	$321	177%
First Health Contracted [320128]	$405	223%
Multiplan Contracted [320270]	$414	228%
Private Health Care Systems Contracted [320320]	$414	228%
Medicare (plans)	$487	269%

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 $317.
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 Mercy Hospital Ada 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.