CMS Price Transparency Data

Family therapy session

Facility: OHSU Hospital and Clinics

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $219
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Family therapy session at OHSU Hospital and Clinics is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

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: $199 (110%)
Insurance Median: $219 (121%)
Cash: $199 (110% of Medicare)
Ins. Median: $219 (121% 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
Community Health Plan Of Washington $59 - $279 33%
Care Oregon $159 - $235 88%
Intercommunity Health Network $159 88%
Kaiser Foundation Hospitals $159 - $306 88%
Medicare (plans) $159 - $306 88%
Pacific Source $159 - $238 88%
Samaritan Health Plan $168 - $498 93%
Moda $169 - $306 93%
Humana $199 - $211 110%
Trillium $199 110%
UnitedHealthcare $211 - $306 116%
Aetna $215 - $239 119%
Health Net Health Plan Of Oregon, Inc. $229 - $237 126%
Coventry First Health $230 127%
First Choice $232 128%
Providence Health Plan $239 - $260 132%
Cigna $280 154%
Blue Cross Blue Shield $306 169%
Molina Exchange $306 169%
Tuality Health $306 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals