CMS Price Transparency Data

Family therapy session

Facility: Trident Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $592
Cash Discount Price: $1,282
vs. Medicare Baseline: 3.26x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Trident Medical Center is $592. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,282. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.26x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$1,282

Average discount available for prompt cash payment at this facility.

Insurance Median

$592

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: $1,282 (707%)

Insurance Median: $592 (326%)

Cash: $1,282 (707% of Medicare)

Ins. Median: $592 (326% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 326% of the Medicare baseline (a markup of 226%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Absolute Total Care	$187 - $231	103%
Molina	$231	127%
Nhc Advantage	$244	135%
Pruitt Health	$244	135%
Aetna	$273 - $606	151%
Blue Choice Health Plan	$357	197%
Blue Cross Blue Shield	$357 - $1,218	197%
Medcost	$490 - $720	270%
Sc State Employees	$529	292%
Select Health	$551	304%
Employers Health Network	$577	318%
Occunet	$641	353%
Vocational Rehab	$692	382%
Humana	$833 - $962	459%
First Health	$936	516%
Multiplan	$1,090	601%
Prime Health	$1,090	601%
Novanet	$1,154	636%

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 $1,282.
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 Trident 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.