CMS Price Transparency Data

Family therapy session

Facility: Carnegie Tri-County Municipal Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $286
Cash Discount Price: $243
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Carnegie Tri-County Municipal Hospital is $286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.58x the Medicare baseline. Located in 102 North Broadway, Carnegie, OK.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$286

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: $243 (134%)

Insurance Median: $286 (158%)

Cash: $243 (134% of Medicare)

Ins. Median: $286 (158% 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	$210 - $496	116%
Blue Cross Blue Shield	$214 - $422	118%
Global Health Mcr Adv	$223 - $263	123%
Humana	$223 - $496	123%
UnitedHealthcare	$223 - $263	123%
Wellcare Mcr Adv - All Plans	$223 - $263	123%
Health Choice - All Plans	$263	145%
Ambetter / Centene	$289 - $342	159%
Community Care Comm Ip/Op Only - All Plans	$336 - $397	185%
Preferred Comm Ppo - All Plans	$336 - $397	185%
Global Health Ip/Op Only - All Other Plans	$357 - $422	197%
First Health - All Plans	$378 - $446	208%
Multiplan - All Plans	$386 - $456	213%
Soonerselect Mcaid - All Plans	$420 - $496	232%

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 $243.
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 Carnegie Tri-County 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.