CMS Price Transparency Data

Family therapy session

Facility: Milton S Hershey Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $216
Cash Discount Price: $346
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Milton S Hershey Medical Center is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$346

Average discount available for prompt cash payment at this facility.

Insurance Median

$216

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: $346 (191%)

Insurance Median: $216 (119%)

Cash: $346 (191% of Medicare)

Ins. Median: $216 (119% 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
[Amerihealth Caritas]	$160 - $188	88%
[Highmark Wholecare]	$160 - $188	88%
[Geisinger]	$169 - $778	93%
[Health Partners Plans]	$175 - $192	97%
[Pa Health & Wellness]	$176 - $194	97%
[Highmark]	$186 - $1,012	103%
[Cbc]	$188 - $691	104%
Aetna	$190 - $707	105%
Humana	$190	105%
[Healthspring]	$190	105%
UnitedHealthcare	$192 - $753	106%
[Upmc]	$192 - $771	106%
[Point Comfort Underwriters]	$235	130%
Cigna	$667	368%
[Highmark Aca]	$709	391%
[Preferred Healthcare Systems]	$783	432%
[Highmark Choice Blue]	$810	447%
[First Health]	$835	460%
[Multiplan]	$835	460%

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 $346.
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 Milton S Hershey Medical Center 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.