CMS Price Transparency Data

Family therapy session

Facility: St David's Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $227
  • Cash Discount Price: $622
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Family therapy session at St David's Medical Center is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $622. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.25x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$622

Average discount available for prompt cash payment at this facility.

Insurance Median
$227

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: $622 (343%)
Insurance Median: $227 (125%)
Cash: $622 (343% of Medicare)
Ins. Median: $227 (125% 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 $24 - $130 13%
Blue Cross Blue Shield $72 - $244 40%
Amerigroup $75 41%
Oscar $92 - $164 51%
Moda $113 - $180 62%
United $120 - $344 66%
Covenant Management Systems $138 - $220 76%
Healthcare Highways $140 - $229 77%
Imo Med - Select Network $144 - $229 79%
Cigna $154 - $313 85%
Nomi Health $154 - $178 85%
Aetna $169 - $422 93%
Moda Health $173 - $283 95%
Evry Health $177 98%
Texas Healthcare Foundation Heb $178 - $283 98%
Texas Workforce Commission $187 - $298 103%
Curative Administrators $192 106%
Harbor Health Team $192 106%
Averde Health $216 - $344 119%
Comanche County $240 - $382 132%
National Choicecare $240 - $382 132%
Healthsmart Preferred Care $264 - $611 146%
Independent Medical Systems $264 - $420 146%
Physicians Cooperative Of Texas $264 - $420 146%
Prime Health $288 - $458 159%
First Health $302 - $549 167%
Coastal Comp Health Networks $312 - $497 172%
National Health Care $312 - $497 172%
Occunet $336 - $535 185%
Texas Municipal League $336 - $535 185%
Medcorp Southwest $360 - $573 199%
Rockport Healthcare Group $384 - $688 212%
Bce Emergis Corporation $432 - $688 238%
Beech Street $432 - $688 238%
Medical Control Network Solutions $432 - $688 238%
Multiplan $432 - $688 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals