CMS Price Transparency Data

Family therapy session

Facility: Duncan Regional Hospital, Inc

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$327

about 1.8× the $181 Medicare rate · typically $186–$470

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $327 Cash price $328 Hospital's list price $345

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$235	130%
Blue Cross Blue Shieldmajor	$459 - $720	253%
Aetnamajor	$293	162%
Cignamajor	$310	171%
Humanamajor	$164	90%
Friday Health	$418	231%
Health Net	$276	152%
Healthcare Highways	$152 - $224	84%
Medica	$145	80%
+ 2 smaller / regional plans	$310 - $317

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 328), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90847.

Insurance Before you use insurance

Call your insurance company to confirm Duncan Regional Hospital, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 90847.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Duncan Regional Hospital, Inc

Compare: Family therapy session at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.