CMS Price Transparency Data

Family therapy session

Facility: St Luke's Hospital - Monroe Campus

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$168

about 0.9× the $181 Medicare rate · typically $128–$168

modeled estimate · not a bill or quote

What this hospital charges insurers

$168

About the fair price

0.9× Medicare

Medicare pays $181 Fair price $168 This hospital $168 Cash price $558 Hospital's list price $672

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 $168

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Family therapy session is about $168 (about 0.9× the $181 Medicare rate). St Luke's Hospital - Monroe Campus charges insurers about $168, or about $558 in cash — about the fair price. Located in Stroudsburg, PA.

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	$178 - $194	98%
Blue Cross Blue Shieldmajor	$114 - $498	63%
Aetnamajor	$168 - $235	93%
Cignamajor	$184	101%
Humanamajor	$171	94%
Geisinger	$168 - $189	93%
Oscar Health	$174	96%
UPMC Health Plan	$173 - $184	95%

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 558), 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 St Luke's Hospital - Monroe Campus 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 St Luke's Hospital - Monroe Campus

Compare: Family therapy session at other PA hospitals

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