CMS Price Transparency Data

Family therapy session

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$179

about 1.0× the $181 Medicare rate · typically $143–$259

modeled estimate · not a bill or quote

What this hospital charges insurers

$148

Below the fair price — a good deal

about $31 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $179 This hospital $148 Cash price $213 Hospital's list price $356

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 $148

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 $179 (about 1.0× the $181 Medicare rate). Baylor Scott & White Medical Center - Marble Falls charges insurers about $148, or about $213 in cash — below the fair price — a good deal. Located in Marble Falls, 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	$148 - $199	82%
Aetnamajor	$196	108%
Cignamajor	$183 - $214	101%
Humanamajor	$113 - $249	62%
Baylor Scott & White	$129 - $232	71%
Cigna HealthSpring	$148	82%
+ 9 smaller / regional plans	$148 - $267

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

Excludes 6 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 213), 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 Medical Center - Marble Falls 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 Medical Center - Marble Falls

Compare: Family therapy session at other TX hospitals

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