CMS Price Transparency Data

Family therapy session

Facility: Cumberland Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $157
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Cumberland Medical Center is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$157

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: $68 (37%)
Insurance Median: $157 (87%)
Cash: $68 (37% of Medicare)
Ins. Median: $157 (87% 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
Blue Cross Blue Shield $46 - $165 25%
UnitedHealthcare $76 - $165 42%
Aetna $87 - $165 48%
Ehn $98 - $108 54%
Cigna $111 - $165 61%
Wellpoint $125 - $165 69%
Ambetter / Centene $131 - $144 72%
Correctional Medical Services $131 - $144 72%
Community Services Network $142 - $156 78%
Farm Bureau $149 82%
Usa Managed Care Organization $153 - $168 84%
Tricare $157 87%
Humana $162 89%
Novanet $164 - $180 90%
Devoted Health $165 91%
Wellcare $165 91%
Direct Care America $174 - $192 96%
Medsave Usa $174 - $192 96%
National Provider Network $174 - $192 96%
Beech Street $185 - $204 102%
Ccn Managed Care $185 - $204 102%
Initial Group $192 - $211 106%
Galaxy Health Network $196 - $216 108%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals