CMS Price Transparency Data

Family therapy session

Facility: Lewisgale Hospital Pulaski

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $720
Cash Discount Price: $980
vs. Medicare Baseline: 3.97x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Lewisgale Hospital Pulaski is $720. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $980. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.97x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$980

Average discount available for prompt cash payment at this facility.

Insurance Median

$720

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: $980 (540%)

Insurance Median: $720 (397%)

Cash: $980 (540% of Medicare)

Ins. Median: $720 (397% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 397% of the Medicare baseline (a markup of 297%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Lifeworks	$186	103%
Universal Healthcare Group	$216	119%
United	$327 - $441	180%
Virginia Health Network	$343 - $696	189%
Aetna	$353 - $441	195%
Cigna	$407	224%
Greenvbrier Sporting Club	$588	324%
Corvel	$706	389%
Richfield Nursing Center	$735	405%
Richfield Retirement Community	$735	405%
Multiplan	$755	416%
Community Care Network	$784	432%
Graham-White Manufacturing	$784	432%
Occunet Workers Comp	$784	432%
One Health Plan	$784	432%
Patients Choice	$862	475%
4Most	$882	486%
American Postal Workers Union	$882	486%
Phcs	$882	486%
Star Transportation	$882	486%

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 $980.
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 Lewisgale Hospital Pulaski 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.