CMS Price Transparency Data

Family therapy session

Facility: Prosser Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $149
Cash Discount Price: $204
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Prosser Memorial Hospital is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $204. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$204

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: $204 (112%)

Insurance Median: $149 (82%)

Cash: $204 (112% 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
Community Health Plan Of Washington	$71 - $150	39%
Coordinated Care	$71 - $150	39%
Kaiser Permanente	$71 - $731	39%
UnitedHealthcare	$71 - $296	39%
Amerigroup	$75 - $159	41%
Molina	$75 - $150	41%
Health Alliance Northwest	$92 - $119	51%
Wellcare	$92 - $119	51%
Humana	$93 - $314	51%
Aetna	$111 - $314	61%
Premera	$116 - $296	64%
Cigna	$124 - $303	68%
Asuris	$149 - $333	82%
Health Management Adminstrators	$149 - $333	82%
Regence	$149 - $333	82%
Ambetter / Centene	$214 - $285	118%
First Choice	$314	173%
Multiplan	$314 - $333	173%

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 $204.
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 Prosser Memorial Hospital 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.