CMS Price Transparency Data

Family therapy session

Facility: Margaretville Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $239
  • Cash Discount Price: $494
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Margaretville Memorial Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $494. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.32x the Medicare baseline. Located in 42084 State Highway 28, Margaretville, NY.
Cash / Self-Pay
$494

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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: $494 (272%)
Insurance Median: $239 (132%)
Cash: $494 (272% of Medicare)
Ins. Median: $239 (132% 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
Blue Cross Blue Shield $141 - $217 78%
UnitedHealthcare $217 - $384 120%
Aetna $217 - $321 120%
Mvp Gold (McR) $217 120%
Medicare (plans) $217 - $326 120%
Hamaspik (McR) $217 120%
Affinity By Molina McR $228 126%
Cdphp $239 132%
Self-Pay $306 169%
Mvp Exchange $321 177%
Emblem Select Care (Exchange) $336 185%
Oxford Exchange $346 191%
Magnacare Standard $346 191%
Emblem Ghi/Hip Ppo/Cbp $356 196%
Todays Options $359 198%
Emblem Ghi/Hip Hmo/Epo/Pos $395 218%
Multiplan $405 223%
Mvp $424 234%
First Health $445 245%
Mvp Hmo/Ppo $1,245 687%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 42084 State Highway 28, Margaretville, NY 12455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals