CMS Price Transparency Data

Family therapy session

Facility: Aurora Psychiatric Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $293
Cash Discount Price: $225
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Aurora Psychiatric Hospital is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.62x the Medicare baseline. Located in 1220 Dewey Ave, Wauwatosa, WI.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$293

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: $225 (124%)

Insurance Median: $293 (162%)

Cash: $225 (124% of Medicare)

Ins. Median: $293 (162% 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
Everpointe Elite	$225	124%
Hs Technology	$225	124%
Aetna	$240 - $372	132%
Quartz One	$248	137%
UnitedHealthcare	$267 - $379	147%
Aurora Caregiver	$270	149%
Blue Cross Blue Shield	$270 - $382	149%
Common Ground	$270	149%
Health Eos Plus	$270	149%
Healthpartners	$270 - $338	149%
Molina Exchange	$270	149%
Quartz Group	$270	149%
Wisconsin Physician Service	$279 - $292	154%
Health Payment Systems	$292	161%
Trilogy	$315	174%
Centivo	$338	186%
Cigna	$338 - $381	186%
Health Eos	$360	199%

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 $225.
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 Aurora Psychiatric 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.