CMS Price Transparency Data

Family therapy session

Facility: Johnson City Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $174
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Johnson City Medical Center is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.96x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $81 (45%)
Insurance Median: $174 (96%)
Cash: $81 (45% of Medicare)
Ins. Median: $174 (96% 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 $86 - $391 47%
UnitedHealthcare $115 - $202 63%
Amerigroup $118 - $166 65%
Aetna $166 - $346 92%
Humana $166 92%
Managed Medicaire $166 92%
Medicare (plans) $166 92%
Mountain Empire Pace $166 92%
Sentara Health $166 - $189 92%
United Mine Workers Of America $166 92%
Molina Healthcare $172 - $204 95%
Cigna $174 - $262 96%
Devoted Health Plan $174 96%
Nhc Advantage $174 96%
Wellcare $176 - $543 97%
Medcost $190 105%
Optima Health $197 109%
Ambetter / Centene $361 199%
First Health Coventry $407 224%
Seven Corners, Inc. $543 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N State of Franklin Rd, Johnson City, TN 37604
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals