CMS Price Transparency Data

Family therapy session

Facility: Children's Hospital of Philadelphia

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $48
Cash Discount Price: $104
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Children's Hospital of Philadelphia is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.26x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $104 (57%)

Insurance Median: $48 (26%)

Cash: $104 (57% of Medicare)

Ins. Median: $48 (26% 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
Medicaid / KanCare	$17	9%
UnitedHealthcare	$17 - $57	9%
Health Partners	$20	11%
Aetna	$27 - $52	15%
Highmark Wholecare	$28	15%
Upmc Medical Assistance	$28	15%
Keystone First Chip	$32	18%
Keystone Health Plan East	$33	18%
Blue Cross Blue Shield	$37 - $42	20%
Geisinger Medical Assistance	$42	23%
Geisinger Health Plan Commercial	$46	25%
Jefferson Health Plans	$49	27%
Cigna	$52	29%
Highmark	$52	29%
Qualcare	$57	31%
First Health Network	$68	37%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$84	46%
Private Health Care Systems	$84	46%
Choice Care Network	$94	52%
Horizon Nj Health	$120	66%

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 $104.
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 Children's Hospital of Philadelphia 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.