CMS Price Transparency Data

Family therapy session

Facility: Johnson County Community Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $115
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Johnson County Community Hospital is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.63x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $80 (44%)
Insurance Median: $115 (63%)
Cash: $80 (44% of Medicare)
Ins. Median: $115 (63% 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 - $262 47%
Aetna $101 - $222 56%
Amerigroup $101 - $176 56%
Managed Medicaire $101 56%
Medicare (plans) $101 56%
Sentara Health $101 - $118 56%
United Mine Workers Of America $101 56%
UnitedHealthcare $101 - $220 56%
Wellcare $101 56%
Humana $103 57%
Molina Healthcare $105 - $222 58%
Cigna $106 - $168 58%
Devoted Health Plan $106 58%
Nhc Advantage $106 58%
Ambetter / Centene $111 61%
Medcost $122 67%
Optima Health $213 117%
First Health Coventry $261 144%
Seven Corners, Inc. $348 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals