CMS Price Transparency Data

Family therapy session

Facility: Metro Nashville General Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $98
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Metro Nashville General Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.54x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $189 (104%)
Insurance Median: $98 (54%)
Cash: $189 (104% of Medicare)
Ins. Median: $98 (54% 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
UnitedHealthcare $54 - $98 30%
Corizon $64 35%
Bluecare $77 42%
Tenncare $77 42%
Amerigroup $85 47%
Amerivantage $85 47%
Aetna $98 - $173 54%
Blue $98 54%
Cigna $98 - $104 54%
Humana $98 54%
Medicare (plans) $98 54%
Upmc $98 54%
Wellcare $98 54%
Blue Cross Blue Shield $100 - $132 55%
Farm Bureau $100 55%
Corecivic $107 59%
Ambetter / Centene $137 76%
Naphcare $146 81%
Provider Network Of America $166 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1818 Albion Street, Nashville, TN 37208
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals