CMS Price Transparency Data

Family therapy session

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $149
Cash Discount Price: $155
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Baylor Scott & White Medical Center Pflugerville is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 2600 East Pflugerville Parkway, Pflugerville, TX.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

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: $155 (85%)

Insurance Median: $149 (82%)

Cash: $155 (85% of Medicare)

Ins. Median: $149 (82% 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	$47 - $143	26%
Baylor Scott & White Health Plan	$94 - $235	52%
Humana	$113 - $181	62%
Blue Cross Blue Shield	$119 - $145	66%
Cigna	$123 - $144	68%
Aetna	$142	78%
Midcoast	$142	78%
Quiktrip	$142	78%
Triwest	$143	79%
Corvel	$149	82%
Prime Health Services	$149	82%
American Health Plan	$150	83%
Healthspring	$150	83%
Procare Advantage	$150	83%
University Of Mary Hardin-Baylor	$150	83%
Independent Medical System	$155	85%
Curative	$168	93%
First Health	$181	100%
Healthsmart	$181 - $194	100%
Private Health Care System	$194	107%
Sedgwick	$213	117%
Three Rivers	$233	128%

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 $155.
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 Pflugerville 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.