CMS Price Transparency Data

Family therapy session

Facility: Baylor Scott & White Heart & Vascular Hospital - Dallas

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $166
Cash Discount Price: $181
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Baylor Scott & White Heart & Vascular Hospital - Dallas is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $181. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.92x the Medicare baseline. Located in 621 North Hall Street, Dallas, TX.

Cash / Self-Pay

$181

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $181 (100%)

Insurance Median: $166 (92%)

Cash: $181 (100% of Medicare)

Ins. Median: $166 (92% 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	$24 - $153	13%
Blue Cross Blue Shield	$106 - $223	58%
Baylor Scott & White Health Plan	$139 - $241	77%
Aetna	$146 - $166	81%
Humana	$146 - $211	81%
Triwest	$146	81%
Cigna	$149 - $175	82%
American Health Plan	$153	84%
Corvel	$153	84%
Healthspring	$153	84%
Prime Health Services	$153	84%
Procare Advantage	$153	84%
Employers Health Network	$166	92%
Quiktrip	$166	92%
University Of Mary Hardin-Baylor	$175	97%
Imagine Health	$189	104%
Curative	$196	108%
First Health	$211	116%
Healthsmart	$211 - $226	116%
Private Health Care System	$226	125%
Ambetter / Centene	$302	167%

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 $181.
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 Baylor Scott & White Heart & Vascular Hospital - Dallas 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.