CMS Price Transparency Data

Family therapy session

Facility: HCA Houston Healthcare Clear Lake

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $133
Cash Discount Price: $385
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a Family therapy session at HCA Houston Healthcare Clear Lake is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 500 W Medical Center Blvd, Webster, TX.

Cash / Self-Pay

$385

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $385 (212%)

Insurance Median: $133 (73%)

Cash: $385 (212% of Medicare)

Ins. Median: $133 (73% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$23	13%
Humana	$36	20%
Community Health Choice Mcd	$50	28%
Amerigroup	$54	30%
Cigna	$57 - $73	31%
Texas Childrens Health Plans	$64 - $91	35%
Oscar	$75	41%
United	$78 - $173	43%
Ipa Management Services	$96	53%
Healthcare Highways	$98	54%
Aetna	$102 - $167	56%
Evry Health	$105	58%
Blue Cross Blue Shield	$135	74%
Imagine Health	$135	74%
Christus (Usfhp)	$154	85%
Healthsmart Preferred Care	$165 - $327	91%
Averde Health	$173	95%
Fidelis Securecare Of Tx	$173	95%
Multiplan	$192 - $346	106%
Coventry National First Health	$205	113%
Physicians Cooperative Of Texas	$212	117%
Rockport Workers Comp	$212	117%
Beech Street	$231 - $308	127%
Independent Medical System	$231	127%
National Healthcare Solutions	$231	127%
Southwest Medical	$231	127%
Coastal Comp	$250	138%
Texas Athletic Network	$300 - $600	165%
Physicians, Inc	$327	180%
Affiliated Ppo	$346	191%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $385.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Houston Healthcare Clear Lake is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.