CMS Price Transparency Data

Family therapy session

Facility: Okeene Municipal Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $265
Cash Discount Price: $320
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Okeene Municipal Hospital is $265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.46x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$320

Average discount available for prompt cash payment at this facility.

Insurance Median

$265

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: $320 (176%)

Insurance Median: $265 (146%)

Cash: $320 (176% of Medicare)

Ins. Median: $265 (146% 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
Pref Community Choice Ppo-All Plans	$50 - $70	28%
Blue Cross Blue Shield	$190 - $312	105%
Coventry Mcr Adv	$192 - $265	106%
Global Health Mcr Adv	$192 - $265	106%
Humana	$192 - $465	106%
Medicare (plans)	$192 - $265	106%
UnitedHealthcare	$192 - $265	106%
Cigna	$206 - $285	114%
Ihs-All Plans	$218 - $301	120%
Ok Complete Health Comm-All Other Plans	$234 - $323	129%
Aetna	$235 - $465	130%
Healthchoice Ip Only-All Plans	$235 - $326	130%
Global Health-All Other Plans	$249 - $345	137%
Healthcare Highways-All Plans	$252 - $349	139%
Phcs Savility/Multiplan - All Plans	$252 - $349	139%
Medica Commercial-All Other Plans	$259 - $358	143%
Community Care Hmo-All Plans	$302 - $418	167%
Ok Complete Health Mcaid	$336 - $465	185%

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 $320.
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 Okeene Municipal Hospital 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.