CMS Price Transparency Data

Family therapy session

Facility: Charleston Area Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $181
  • Cash Discount Price: $397
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Charleston Area Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $397. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.
Cash / Self-Pay
$397

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $397 (219%)
Insurance Median: $181 (100%)
Cash: $397 (219% of Medicare)
Ins. Median: $181 (100% 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.

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
Aetna $81 - $420 45%
The Health Plan Of West Virginia Inc. $81 - $416 45%
Unicare Health Plan Of West Virginia Inc. $81 45%
Triwest Va $105 - $176 58%
Blue Cross Blue Shield $108 - $391 60%
Choicecare Network $108 - $420 60%
Optimum Choice Inc. $108 - $172 60%
UnitedHealthcare $108 - $420 60%
West Virginia Senior Advantage Inc. $113 - $190 62%
City Of Charleston $141 - $322 78%
Naphcare $148 - $363 82%
Integrated Medical Solutions $157 - $354 87%
Caresource $162 - $429 89%
Tricare $218 - $257 120%
Three Rivers Providers Network $353 - $416 195%
Healthsmart $357 - $420 197%
Multiplan $357 - $420 197%
Cigna $360 - $399 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Morris Street, Charleston, WV 25301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals