CMS Price Transparency Data

Family therapy session

Facility: Texas Health Presbyterian Hospital Plano

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $240
Cash Discount Price: $408
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Texas Health Presbyterian Hospital Plano is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $408. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.32x the Medicare baseline. Located in 6200 W Parker Rd, Plano, TX.

Cash / Self-Pay

$408

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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: $408 (225%)

Insurance Median: $240 (132%)

Cash: $408 (225% of Medicare)

Ins. Median: $240 (132% 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
Amerigroup	$68 - $187	37%
Blue Cross Blue Shield	$68 - $560	37%
Parkland	$68 - $83	37%
Superior Wellcare	$72 - $196	40%
Molina	$74 - $187	41%
UnitedHealthcare	$83 - $372	46%
American Health	$161 - $178	89%
Healthspring	$164 - $182	90%
Humana	$167 - $185	92%
Aetna	$278 - $476	153%
City Of Fort Worth	$319	176%
Cigna	$375 - $639	207%
Quick Trip	$408 - $428	225%
Fort Worth Firefighters	$415 - $777	229%
Phcs	$472 - $506	260%
Healthsmart	$509 - $571	281%
Multiplan	$591	326%
Galaxy	$598	330%
Usa	$598	330%

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 $408.
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 Texas Health Presbyterian Hospital Plano 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.