CMS Price Transparency Data

Family therapy session

Facility: Southern Hills Hospital and Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $173
Cash Discount Price: $974
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Southern Hills Hospital and Medical Center is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $974. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.95x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$974

Average discount available for prompt cash payment at this facility.

Insurance Median

$173

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: $974 (537%)

Insurance Median: $173 (95%)

Cash: $974 (537% of Medicare)

Ins. Median: $173 (95% 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
Sierra Hpn	$91 - $92	50%
Molina Healthcare	$91 - $95	50%
Community Care Health	$91 - $92	50%
Caresource	$95	52%
Ambetter / Centene	$96 - $214	53%
United	$97 - $222	53%
Health Services Coalition	$139	77%
Legacy Provider Network	$147	81%
Corvel	$155 - $164	85%
Olympus Medsave USA	$163 - $765	90%
Aetna	$209	115%
Select Health	$220 - $235	121%
Cigna	$228	126%
Cmn Global	$428	236%
Hometown Health Providers	$510	281%
Nv Health & Welfare Trust	$612	337%
Multiplan	$643 - $745	355%
First Health	$673 - $816	371%
Medcare International	$765	422%

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 $974.
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 Southern Hills Hospital and Medical Center 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.