CMS Price Transparency Data

Family therapy session

Facility: HCA Houston Healthcare Southeast

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $118
  • Cash Discount Price: $344
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a Family therapy session at HCA Houston Healthcare Southeast is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $344. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.65x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$344

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $344 (190%)
Insurance Median: $118 (65%)
Cash: $344 (190% of Medicare)
Ins. Median: $118 (65% 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
Superior Health Plan $21 12%
Humana $36 20%
Community Health Choice Mcd $45 25%
Amerigroup $48 26%
Cigna $51 - $275 28%
Blue Cross Blue Shield $56 - $120 31%
Texas Childrens Health Plans $61 - $82 34%
Oscar $67 37%
United $69 - $155 38%
Texas Workforce Commission $83 46%
Healthcare Highways $88 49%
Aetna $91 - $149 50%
Evry Health $94 52%
Imagine Health $120 66%
Christus (Usfhp) $138 76%
Curative Administrators $138 76%
Healthsmart Preferred Care $148 - $292 82%
Averde Health $155 85%
Fidelis Securecare Of Tx $155 85%
Multiplan $172 - $310 95%
Coventry National First Health $183 101%
Physicians Cooperative Of Texas $189 104%
Rockport Workers Comp $189 104%
Beech Street $206 - $275 114%
Independent Medical System $206 114%
National Healthcare Solutions $206 114%
Prime Health Services $206 114%
Southwest Medical $206 114%
Coastal Comp $224 124%
Fiesta Mart, Inc $258 142%
Physicians, Inc $292 161%
Texas Athletic Network $300 - $600 165%
Affiliated Ppo $310 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals