Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
FAMILY PSYTX W/PT 50 MIN
Maple Grove, MN
See all hospitals reporting CPT 90847 →Price type
Fairview Maple Grove Surgery Center’s median price of $117 is 38% below the median hospital's median price ($187), higher than 14% of the 1,682 hospitals reporting CPT 90847. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $79.98 | $79.98 | $79.98 – $79.98 |
| 2 | Medica accessability fee schedule · both | $84.26 | $84.26 | $84.26 – $84.26 |
| 3 | Medica medicaid fee schedule · both | $84.26 | $84.26 | $84.26 – $84.26 |
| 4 | Medicaid medicaid fee schedule · both | $89.50 | $89.50 | $89.50 – $89.50 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $90.16 | $90.16 | $90.16 – $90.16 |
| 6 | Ucare mhcp fee schedule · both | $91.24 | $91.24 | $91.24 – $91.24 |
| 7 | UnitedHealthcare medicare advantage fee schedule · both | $99.86 | $99.86 | $99.86 – $99.86 |
| 8 | Blue Cross Blue Shield medicare advantage fee schedule · both | $103.85 | $103.85 | $103.85 – $103.85 |
| 9 | Medica ma non-snp fee schedule · both | $107.19 | $107.19 | $107.19 – $107.19 |
| 10 | Medica ma snp fee schedule · both | $107.19 | $107.19 | $107.19 – $107.19 |
| 11 | Medica prime solution fee schedule · both | $107.19 | $107.19 | $107.19 – $107.19 |
| 12 | Medica vantage fee schedule · both | $107.19 | $107.19 | $107.19 – $107.19 |
| 13 | Blue Cross Blue Shield federal fee schedule · outpatient | $132.00 | $132.00 | $132.00 – $132.00 |
| 14 | Blue Cross Blue Shield commercial fee schedule · outpatient | $134.38 | $134.38 | $134.38 – $134.38 |
| 15 | Cigna commercial fee schedule · outpatient | $178.38 | $178.38 | $162.87 – $193.89 |
| 16 | Ucare ifp with fairview fee schedule · both | $263.53 | $263.53 | $263.53 – $263.53 |
| 17 | Ucare ifp fee schedule · both | $277.61 | $277.61 | $277.61 – $277.61 |
| 18 | Cigna commercial fee schedule · both | $280.75 | $280.75 | $256.34 – $305.16 |
| 19 | Medica bold fee schedule · both | $304.11 | $304.11 | $304.11 – $304.11 |
| 20 | UnitedHealthcare commercial fee schedule · both | $307.00 | $307.00 | $307.00 – $307.00 |
| 21 | Medica choice without / elect fee schedule · both | $337.90 | $337.90 | $337.90 – $337.90 |
| 22 | Medica city of st paul / essential uplan fee schedule · both | $337.90 | $337.90 | $337.90 – $337.90 |
| 23 | Blue Cross Blue Shield federal fee schedule · both | $340.65 | $340.65 | $340.65 – $340.65 |
| 24 | Blue Cross Blue Shield commercial fee schedule · both | $346.78 | $346.78 | $346.78 – $346.78 |
| 25 | Medica choice with fee schedule · both | $349.70 | $349.70 | $349.70 – $349.70 |
Last updated: May 18, 2026
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