CMS Price Transparency Data

Family therapy session

Facility: St Charles Medical Center - Bend

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$346

about 1.9× the $181 Medicare rate · typically $188–$560

modeled estimate · not a bill or quote

What this hospital charges insurers

$522

Above the fair price

about $176 over the fair price · 2.9× Medicare

Medicare pays $181 Fair price $346 This hospital $522 Cash price $551 Hospital's list price $688

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $128 Priciest $522

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Family therapy session is about $346 (about 1.9× the $181 Medicare rate). St Charles Medical Center - Bend charges insurers about $522, or about $551 in cash — above the fair price. Located in Bend, OR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $346. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana

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
Blue Cross Blue Shieldmajor	$443 - $522	244%
Aetnamajor	$479 - $719	264%
Cignamajor	$347 - $520	191%
Kaiser Permanentemajor	$477 - $715	263%
Health Net	$518 - $777	286%
Moda Health	$474 - $710	261%
PacificSource	$220 - $452	121%
Providence Health Plan	$386 - $723	213%
+ 46 smaller / regional plans	$191 - $810

Government programs also on file: Medicaid.

Excludes 5 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 551), 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 St Charles Medical Center - Bend 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 St Charles Medical Center - Bend

Compare: Family therapy session at other OR hospitals

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