CMS Price Transparency Data

Family therapy session

Facility: Adventist Health Portland

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $230
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Adventist Health Portland is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.27x the Medicare baseline. Located in 10123 Se Market Street, Portland, OR.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $98 (54%)
Insurance Median: $230 (127%)
Cash: $98 (54% of Medicare)
Ins. Median: $230 (127% 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
Healthcare Resources - All Plans $69 38%
Workers Comp $106 58%
Bc Premera First - All Plans $153 84%
Ods - All Plans $158 87%
Care Oregon - All Plans $168 93%
Healthnet Hmo/Pos - All Other Plans $174 96%
Healthnet Epo/Pos/Ppo $176 97%
Worldventure - All Plans $184 101%
Kaiser Mcr Adv $197 109%
Providence Hp - All Plans $199 110%
Regence Preferred Mcr Adv $200 110%
Humana $201 - $209 111%
Pacific Source Comm - All Plans $202 111%
Moda Mcr Adv $209 115%
First Choice - All Plans $212 117%
Healthnet Mcr Adv $227 125%
Multiplan - All Plans $230 127%
Phcs - All Plans $230 127%
Regence Mcr Adv $233 128%
Aetna $239 132%
First Health-Coventry - All Plans $245 135%
National Provider Network - All Plans $269 148%
Health Payors Organization Ltd- All Plans $275 152%
Regence Ohsu Plus $321 177%
Ah Employee Health Plan - All Plans $355 196%
Regence - All Other Plans $357 197%
Moda Conn Oebb/Syn Pebb $395 218%
Moda Affinity - All Other Plans $454 250%
Kaiser - All Other Plans $515 284%
Moda Ohsu Ppo/Epo/Hmc $551 304%
Cigna $612 337%
Moda Select $618 341%
Moda Connexus $698 385%
Moda Synergy $739 408%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10123 Se Market Street, Portland, OR 97216
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals