CMS Price Transparency Data

Family therapy session

Facility: Pennsylvania Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $35
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Pennsylvania Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.19x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $57 (31%)
Insurance Median: $35 (19%)
Cash: $57 (31% of Medicare)
Ins. Median: $35 (19% 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
Cigna $11 - $191 6%
Devon $11 - $49 6%
Preferred Health Care Eliance $11 - $28 6%
Qualcare $11 - $41 6%
Aetna $12 - $197 7%
Blue Cross Blue Shield $12 - $186 7%
Coventry $12 - $55 7%
Horizon Nj Health $12 - $19 7%
Ibc Commercial Hpn $12 - $44 7%
Keystone Hmo Proactive $12 - $45 7%
Medicaid / KanCare $12 - $109 7%
Pgm - Chop $12 - $43 7%
Wissahickon Hospice $12 - $43 7%
Healthamerica/Coventry $13 - $53 7%
Pgm - Kuwait Defense $13 - $49 7%
First Health Global $14 - $54 8%
Keystone Mercy Health Plan $14 - $22 8%
Olympus $14 - $53 8%
UnitedHealthcare $14 - $197 8%
Urn-Cancer Resource Services $14 - $54 8%
Pgm - Regie De L'Assurance Maladie Quebec $16 - $25 9%
Health Net $17 - $109 9%
Pgm - Royal Embassy Of Saudi Arabia $17 - $65 9%
Upmc $18 - $186 10%
Pgm - Embassy Of Qatar $19 - $71 10%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $19 - $71 10%
Pgm - Embassy Of The United Emirates/Ipc $20 - $76 11%
Devon Health Services Inc $23 - $87 13%
Health America/Ccn $23 - $87 13%
Humana $23 - $191 13%
Intergroup $23 - $87 13%
Pgm - Kuwait Health Division $23 - $87 13%
Pgm - Kuwait Oil $23 - $87 13%
Preferred Care $23 - $87 13%
Commercial Other $29 - $109 16%
Community Behavioral Health $29 - $109 16%
Health Partners $29 - $191 16%
International Pfs $29 - $109 16%
Quest Behavioral Health $29 - $109 16%
United Behavioral Health $29 - $109 16%
Workers Compensation $29 - $109 16%
Medicare (plans) $186 - $189 103%
Philadelphia Va Medical Center $186 103%
Tricare $187 103%
Ibc $189 104%
Geisinger Health Plan $191 - $589 105%
Pa Health And Wellness $195 - $306 108%
Penn Life (Living Independently For Elders) $195 108%
Clover Health Plan $200 110%
Keystone First $206 114%
Us Family Health Plan $215 119%
Gateway Health Plan $230 127%
Elap $264 146%
Claims Watcher $297 - $334 164%
Oscar Health Plan $316 174%
Centivo $334 184%
Elap Services $345 190%
Highmark $390 215%
Penn Global Medicine $492 271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Spruce Street, Philadelphia, PA 19107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals