CMS Price Transparency Data

Family therapy session

Facility: Forks Community Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $112
Cash Discount Price: $142
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Forks Community Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.62x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $142 (78%)

Insurance Median: $112 (62%)

Cash: $142 (78% of Medicare)

Ins. Median: $112 (62% 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
Medicaid / KanCare	$74 - $79	41%
Coordinated Care (Mco) Mcd-All Plans	$75 - $80	41%
UnitedHealthcare	$75 - $145	41%
Community Health Network Mcr-All Other Plans	$97 - $120	53%
Humana	$97 - $104	53%
Triwest-All Plans	$97 - $104	53%
Molina Commercial-All Other Plans	$104 - $198	57%
Va-Ihs - All Plans	$104	57%
Tricare	$105	58%
Ambetter / Centene	$112 - $121	62%
Cigna	$112 - $215	62%
Wellcare Med Adv - All Plans	$112 - $121	62%
Medicare (plans)	$120 - $318	66%
Regence-All Other Plans	$124 - $140	68%
Blue Cross Blue Shield	$130 - $204	72%
Aetna	$133 - $204	73%
Community Health Exchange	$140 - $141	77%
First Choice-All Plans	$141 - $215	78%

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 $142.
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 Forks Community 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.