Family therapy session
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 90847 (CPT)
- CPT Billing Code: 90847
- Insurance Median: $149
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.82x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $74 - $416 | 41% |
| Aetna | $77 - $119 | 42% |
| Medicaid / KanCare | $77 - $120 | 42% |
| Providrs Care | $125 | 69% |
| Tricare | $128 | 71% |
| Blue Cross Blue Shield | $138 - $145 | 76% |
| Humana | $149 - $150 | 82% |
| Medicare (plans) | $149 - $152 | 82% |
| Va | $149 | 82% |
| Smarthealth | $208 | 115% |
| Ambetter / Centene | $253 | 140% |
Consumer Guidance & Cost Commentary
For the CPT code 90847, representing a family therapy session at Ascension Via Christi Hospital Manhattan, the facility's cash median price is $81.00, which is notably lower than the state average of $149.00. While commercial payers like UnitedHealthcare and Aetna negotiate rates ranging from $74 to $120, these amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. To secure the lowest possible rate, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly insurance claims processing.
When evaluating the facility's pricing against federal benchmarks, the Medicare amount of $181.34 serves as a reliable baseline for understanding the true cost of care. The facility's negotiated rates for various insurers, such as Medicare plans at $149 and Smarthealth at $208, reflect standard commercial pricing structures that include administrative overhead. It is important to note that while the facility is an in-network location for many plans, balance billing protections under the No Surprises Act generally prevent unexpected charges for out-of-network services at this acute care hospital. Consumers are advised to review their specific plan details and confirm whether their deductible has been met before relying on insurance to cover this service, as paying the full cash rate may result in significant savings compared to the negotiated amounts charged by major payers.