CMS Price Transparency Data

Family therapy session

Facility: Excela Health Westmoreland Regional Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $197
Cash Discount Price: $164
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Excela Health Westmoreland Regional Hospital is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.09x the Medicare baseline. Located in 532 West Pittsburgh Street, Greensburg, PA.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$197

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: $164 (90%)

Insurance Median: $197 (109%)

Cash: $164 (90% of Medicare)

Ins. Median: $197 (109% 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
Upmc For Kids Chip	$45	25%
Provider Network Of America	$87 - $349	48%
Highmark Advantage Community Blue	$169	93%
Senior Life	$181	100%
Aetna	$187 - $417	103%
Health Partners Plan	$187	103%
Martin'S Point	$187	103%
Peak Health	$187 - $426	103%
Humana	$189	104%
United	$189	104%
Amerihealth Caritas	$190	105%
Cigna	$190 - $400	105%
Community Blue	$190	105%
Devoted	$190	105%
Geisinger	$190	105%
The Health Plan Of West Virginia	$192 - $426	106%
Pa Health And Wellness	$194	107%
Upmc	$196	108%
Highmark Wholecare	$198	109%
American Health Plan Of Pa	$199	110%
Provider Plan Partners Plan	$199	110%
Upmc Health Plan	$199 - $210	110%
Highmark Children'S Health Insurance Program	$218	120%
Ambetter / Centene	$227	125%
Highmark	$245 - $400	135%
Velocity	$272	150%
UnitedHealthcare	$462	255%

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 $164.
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 Excela Health Westmoreland Regional Hospital 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.