CMS Price Transparency Data

Family therapy session

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $196
Cash Discount Price: $213
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Baylor Scott & White Medical Center - Marble Falls is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.08x the Medicare baseline. Located in 810 W Highway 71, Marble Falls, TX.

Cash / Self-Pay

$213

Average discount available for prompt cash payment at this facility.

Insurance Median

$196

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: $213 (117%)

Insurance Median: $196 (108%)

Cash: $213 (117% of Medicare)

Ins. Median: $196 (108% 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	$64 - $141	35%
Humana	$113 - $249	62%
Baylor Scott & White Health Plan	$129 - $232	71%
Triwest	$141	78%
Corvel	$147	81%
Prime Health Services	$147	81%
American Health Plan	$148	82%
Blue Cross Blue Shield	$148 - $199	82%
Healthspring	$148	82%
Procare Advantage	$148	82%
Cigna	$183 - $214	101%
Aetna	$196	108%
Midcoast	$196	108%
Quiktrip	$196	108%
University Of Mary Hardin-Baylor	$206	114%
Sedgwick	$210	116%
Independent Medical System	$213	117%
Curative	$231	127%
First Health	$249	137%
Healthsmart	$249 - $267	137%
Bluebell Creameries	$267	147%
Private Health Care System	$267	147%
Three Rivers	$320	176%

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 $213.
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 Medical Center - Marble Falls 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.