CMS Price Transparency Data

Family therapy session

Facility: Methodist Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $157
  • Cash Discount Price: $472
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Methodist Hospital is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $472. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 7700 Floyd Curl Dr, San Antonio, TX.
Cash / Self-Pay
$472

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: $472 (260%)
Insurance Median: $157 (87%)
Cash: $472 (260% 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
Superior Health $17 - $30 9%
Community First Health Plans $42 - $161 23%
Amerigroup $49 - $83 27%
Imperial Insurance $66 - $113 36%
Oscar $70 - $119 39%
United $86 - $268 47%
Aetna $92 - $298 51%
Cigna $101 - $230 56%
Blue Cross Blue Shield $103 - $176 57%
Focus Health Solutions $105 58%
Healthcare Highways $108 - $183 60%
Valenz $122 67%
Evry Health $128 71%
First Health $154 - $262 85%
Fidelis Securecare $157 - $268 87%
Emerging Therapy Solutions $171 - $399 94%
National Choicecare $175 - $298 97%
Texas Healthcare Foundation Heb $175 - $298 97%
Tx Healthcare Foundation $175 - $298 97%
Healthsmart Preferred Care $192 - $327 106%
Independent Medical Systems $192 - $327 106%
Physician Cooperative Of Texas $192 - $327 106%
Haa Preferred Partners $209 - $357 115%
San Antonio Employers Health Alliance $209 - $357 115%
Coastal Comp Health Networks $227 - $387 125%
National Healthcare Solutions $227 - $387 125%
Tml Intergovernmental Ebp $244 - $417 135%
Multiplan $262 - $506 144%
Triwest Health Alliance $262 - $446 144%
Usa Managed Care $262 - $446 144%
Blue Bell $279 - $476 154%
Directcare America $279 - $476 154%
UnitedHealthcare $349 - $595 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7700 Floyd Curl Dr, San Antonio, TX 78229
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals