CMS Price Transparency Data

Family therapy session

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $188
Cash Discount Price: $263
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Independence Health System Butler Memorial Hospita is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.04x the Medicare baseline. Located in One Hospital Way, Butler, PA.

Cash / Self-Pay

$263

Average discount available for prompt cash payment at this facility.

Insurance Median

$188

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: $263 (145%)

Insurance Median: $188 (104%)

Cash: $263 (145% of Medicare)

Ins. Median: $188 (104% 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
Behavioral	$30 - $31	17%
Upmc	$45 - $394	25%
Highmark	$70 - $326	39%
Highmark - Ind.& Managed Care	$70 - $362	39%
Highmark Aca - Direct Blue	$70 - $204	39%
Highmark Community Blue	$70 - $320	39%
Ellwood Group	$112 - $309	62%
Martin'S Point - Usfhp	$131 - $155	72%
Workers Comp	$139	77%
Devoted Health Plan	$150 - $164	83%
Life Butler County	$155	85%
Medicare (plans)	$155	85%
Peak Health	$155 - $363	85%
Provider Partners	$155	85%
Tricare	$155	85%
UnitedHealthcare	$155 - $396	85%
Aetna	$159 - $356	88%
Humana	$161	89%
Amerihealth	$162	89%
Geisinger	$162 - $375	89%
The Health Plan	$164 - $363	90%
Pa Health & Wellness	$165	91%
American Health Plan	$170	94%
Pnoa	$170 - $300	94%
Gateway	$174 - $394	96%
Ccbh - Behavioral Health	$187 - $188	103%
Cigna	$188 - $353	104%
Private Healthcare Systems	$262 - $319	144%
Devon	$281	155%
Intergroup	$300	165%
Multiplan	$338	186%

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 $263.
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 Independence Health System Butler Memorial Hospita 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.