CMS Price Transparency Data

Family therapy session

Facility: UPMC Presbyterian Shadyside

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$164

about 0.9× the $181 Medicare rate · typically $113–$193

modeled estimate · not a bill or quote

What this hospital charges insurers

$212

Above the fair price

about $48 over the fair price · 1.2× Medicare

Medicare pays $181 Fair price $164 This hospital $212 Cash price $407 Hospital's list price $678

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $88 Priciest $212

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

A fair price for a Family therapy session is about $164 (about 0.9× the $181 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $212, or about $407 in cash — above the fair price. Located in Pittsburgh, PA.

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 $164. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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
UnitedHealthcaremajor	$16	9%
Blue Cross Blue Shieldmajor	$86 - $569	47%
Aetnamajor	$122 - $168	67%
Cignamajor	$165	91%
Humanamajor	$576	318%
AmeriHealth	$165	91%
Fidelis Care	$508	280%
Geisinger	$373	206%
UPMC Health Plan	$241 - $410	133%
+ 6 smaller / regional plans	$165 - $576

Excludes 3 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 407), 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 UPMC Presbyterian Shadyside 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 UPMC Presbyterian Shadyside

Compare: Family therapy session at other PA hospitals

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