CMS Price Transparency Data

Family therapy session

Facility: Anmed Health

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $125
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Anmed Health is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.69x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $125 (69%)
Insurance Median: $125 (69%)
Cash: $125 (69% of Medicare)
Ins. Median: $125 (69% 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
Medicaid / KanCare $70 - $650 39%
Absolute Total Care [58] $71 - $392 39%
Blue Cross Blue Shield $72 - $618 40%
Planned Administrators [886] $72 - $196 40%
Thomas Cooper & Company [315] $72 - $196 40%
Humana $73 - $468 40%
Blue Choice Health Plan [922] $80 - $196 44%
Select Health Of Sc [637] $80 - $218 44%
Employee Benefit Management Services [869] $86 - $182 47%
Aetna $99 - $499 55%
Medicare (plans) $99 - $650 55%
UnitedHealthcare $99 - $650 55%
Vaccn - Va Community Care Network [16] $99 55%
Veterans Administration [633] $99 55%
Champva [604] $100 - $101 55%
Tricare $100 - $101 55%
Devoted Health Alt Payer [9401] $101 56%
Devoted Health [94] $101 56%
Absolute Total Care Mcr Plans Alt Payer [4101] $102 56%
Absolute Total Care Mcr Plans [41] $102 56%
Cigna $102 - $650 56%
Molina Dual Options Alt Payer [1501] $102 56%
Molina Dual Options [15] $102 56%
First Choice Vip Careplus Alt Payer [3301] $104 57%
First Choice Vip [33] $104 57%
Nhc Advantage Alt Payer [6101] $104 57%
Nhc Advantage [61] $104 57%
Bright Health Alt Payer [1001] $107 - $108 59%
Preferred Administrators [19] $108 - $390 60%
Bright Health [11] $135 - $145 74%
Ambetter / Centene $141 - $485 78%
First Choice Next [96] $143 79%
Molina Marketplace [97] $143 79%
Workers Compensation [622] $155 - $156 85%
Geha [302] $157 - $240 87%
Golden Rule Ins Co [584] $157 - $240 87%
Mail Handlers Benefit Plan [327] $158 - $499 87%
Phcs [940] $158 - $572 87%
Rural Carrier Benefit Plan [406] $158 - $499 87%
Nalc Health Benefit Plan [291] $162 - $355 89%
Edison Health Solutions [95] $173 95%
Healthscope [98] $173 95%
Medcost [206] $182 - $585 100%
Other Hospital Payers [1991] $185 - $650 102%
Coventry Health [245] $468 - $575 258%
American Continental Ins [778] $650 358%
American Republic Life Ins [722] $650 358%
Business Office [6000] $650 358%
Covid19 Hrsa Uninsured Testing And Treatment Fund [17] $650 358%
First Health [946] $650 358%
Guarantee Trust Life Insurance [236] $650 358%
Home Health Infusion Payer [6001] $650 358%
Manhattan Life Ins Co [932] $650 358%
Miscellaneous Commercial [1] $650 358%
New Era Life Ins Co [437] $650 358%
Non-Contracted [22] $650 358%
Physicians Mutual [773] $650 358%
Reference Based Pricing/Limited Plan [21] $650 358%
State Farm Ins Co [373] $650 358%
Sterling Investors Life [244] $650 358%
Supermed/Med Mutual Of Ohio [539] $650 358%
United American Ins Co [277] $650 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 N Fant St, Anderson, SC 29621
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals