CMS Price Transparency Data

Family therapy session

Facility: Hospital of Univ of Pennsylvania

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $111
  • Cash Discount Price: $139
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Hospital of Univ of Pennsylvania is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.61x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$139

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $139 (77%)
Insurance Median: $111 (61%)
Cash: $139 (77% of Medicare)
Ins. Median: $111 (61% 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
Ibc $16 - $190 9%
Horizon Nj Health $23 - $24 13%
UnitedHealthcare $26 - $198 14%
Keystone Mercy Health Plan $28 - $139 15%
Preferred Health Care Eliance $31 17%
Aetna $32 - $198 18%
Pgm - Regie De L'Assurance Maladie Quebec $32 18%
Upmc $35 - $187 19%
Blue Cross Blue Shield $38 - $187 21%
Cigna $48 - $192 26%
Pgm - Kuwait Defense $49 - $63 27%
Qualcare $53 29%
Olympus $55 30%
Coventry $56 - $71 31%
Medicaid / KanCare $56 - $139 31%
Pgm - Chop $56 31%
Wissahickon Hospice $56 31%
Healthamerica/Coventry $63 - $68 35%
First Health Global $70 39%
Ibc Commercial Hpn $76 42%
Keystone Hmo Proactive $77 42%
Health Net $83 - $139 46%
Kaiser Permanente $83 - $187 46%
Pgm - Royal Embassy Of Saudi Arabia $83 46%
Paired Kidney Exchange $85 47%
Pgm - Embassy Of Qatar $90 50%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $90 50%
Gspp And Wissahickon Hospice $93 51%
Interlink $93 51%
Pgm - Embassy Of The United Emirates/Ipc $97 53%
Health America/Ccn $111 61%
Humana $111 - $192 61%
Intergroup $111 61%
Pgm - Kuwait Health Division $111 61%
Pgm - Kuwait Oil $111 61%
Preferred Care $111 61%
Blue Quality Centers For Transplant (Bqct) $139 77%
City Of Philadelphia Behavioral Health $139 77%
Commercial Other $139 77%
Health Partners $139 - $192 77%
International Pfs $139 77%
Pa Medical Assistance $139 77%
United Behavioral Health $139 77%
Workers Compensation $139 77%
Medicare (plans) $187 - $190 103%
Philadelphia Va Medical Center $187 103%
Tricare $187 103%
Geisinger Health Plan $192 - $592 106%
Devoted Health $196 108%
Pa Health And Wellness $196 - $308 108%
Penn Life (Living Independently For Elders) $196 108%
Clover Health Plan $201 111%
Keystone First $207 114%
Us Family Health Plan $215 119%
Gateway Health Plan $231 127%
Elap $265 146%
Claims Watcher $298 - $336 164%
Oscar Health Plan $317 175%
Centivo $336 185%
Elap Services $347 191%
Highmark $392 216%
Penn Global Medicine $494 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals