CMS Price Transparency Data

Family therapy session

Facility: Baylor Scott & White the Heart Hospital Plano

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$160

about 0.9× the $181 Medicare rate · typically $145–$227

modeled estimate · not a bill or quote

What this hospital charges insurers

$153

About the fair price

about $7 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $160 This hospital $153 Cash price $181 Hospital's list price $302

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $153

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Family therapy session is about $160 (about 0.9× the $181 Medicare rate). Baylor Scott & White the Heart Hospital Plano charges insurers about $153, or about $181 in cash — about the fair price. Located in Plano, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$106 - $223	58%
Aetnamajor	$146 - $166	81%
Cignamajor	$149 - $175	82%
Humanamajor	$146 - $211	81%
Ambetter (Centene)	$302	167%
Baylor Scott & White	$139 - $241	77%
Cigna HealthSpring	$153	84%
Health Net	$166	92%
+ 6 smaller / regional plans	$153 - $226

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 181), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90847.

Insurance Before you use insurance

Call your insurance company to confirm Baylor Scott & White the Heart Hospital Plano is in-network.
Ask your insurer whether prior approval is required for CPT code 90847.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baylor Scott & White the Heart Hospital Plano

Compare: Family therapy session at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.