CMS Price Transparency Data

Family therapy session

Facility: Southern Coos Hospital & Health Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $123
Cash Discount Price: $138
vs. Medicare Baseline: 0.68x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Southern Coos Hospital & Health Center is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.68x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $138 (76%)

Insurance Median: $123 (68%)

Cash: $138 (76% of Medicare)

Ins. Median: $123 (68% 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
Tricare	$80	44%
Advanced Health - All Plans	$87	48%
Aetna	$91 - $124	50%
Atrio Mcr Adv - Allplans	$91	50%
Confederated Tribes - All Plans	$91	50%
Moda Mcr Adv	$91	50%
Pacific Source Mcr Adv	$91	50%
Cigna	$109	60%
Healthnet - All Plans	$114	63%
Moda Health Plan - All Other Plans	$123	68%
Prov Netwrk Of America - All Plans	$124	68%
Three Rivers - All Plans	$124	68%
UnitedHealthcare	$124	68%
First Choice - All Plans	$127	70%
Blue Cross Blue Shield	$128	71%
Multiplan - All Plans	$128	71%
First Health - All Plans	$131	72%
Pacific Source - All Other Plans	$131	72%
Providence Preferred - All Plans	$131	72%

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 $138.
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 Southern Coos Hospital & Health Center 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.