CMS Price Transparency Data

Family therapy session

Facility: Prisma Health Patewood Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $288
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Prisma Health Patewood Hospital is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.59x the Medicare baseline. Located in 175 Patewood Drive, Greenville, SC.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

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: $239 (132%)
Insurance Median: $288 (159%)
Cash: $239 (132% of Medicare)
Ins. Median: $288 (159% 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 $56 - $73 31%
UnitedHealthcare $56 - $861 31%
First Choice Benefits Mgmt [3074] $68 37%
Medicare (plans) $68 37%
Humana $74 41%
Prisma Health Seniorcare Pace - Midlands [5400] $85 - $86 47%
Prisma Health Seniorcare Pace-Upstate [5200] $85 - $86 47%
Tricare $93 51%
Promise Health Plan Contracted [2401] $128 - $450 71%
Orangeburg Senior Helping Center Pace [5401] $146 - $148 81%
Bob Jones Univ-Pai [821] $150 - $375 83%
Companion Benefit Alternatives [2983] $162 - $351 89%
Carelon Behavioral Health [3180] $175 - $375 97%
Aetna $234 - $292 129%
Meritain Health Contracted [2200] $234 - $292 129%
Cigna $244 - $490 135%
Evernorth Behavioral Contracted [2982] $244 - $490 135%
Mvp Health Care [3037] $244 - $490 135%
Preferred Administrators Contracted [2839] $256 - $259 141%
Medcost [2940] $270 - $307 149%
Atlantic Packaging Contracted [4833] $274 - $278 151%
Golden Rule Insurance Company [2991] $289 - $462 159%
Oxford Health Plans [2992] $289 - $462 159%
Zzumr-Salt Lake City Ut [3169] $289 - $462 159%
Aps Healthcare System [2981] $292 - $296 161%
Multiplan/Phcs Contracted [2950] $325 - $329 179%
Blue Cross Blue Shield $326 - $529 180%
Vsp Vision Care [2986] $328 - $333 181%
First Health Contracted [2952] $339 - $344 187%
Furman Int/Allen University Student [2951] $339 - $344 187%
Quiktrip-First Health [3067] $339 - $344 187%
Bluechoice [810] $389 - $429 215%
Planned Administrators [820] $412 227%
Sc Dept Of Corrections [2998] $529 292%
Scdc-Sc Dept Of Corrections [7232] $529 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 175 Patewood Drive, Greenville, SC 29615
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals