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
SA-IOP PSYTX FAMILY W PT 50 MIN
Winston-Salem, NC
See all hospitals reporting CPT 90847 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $267 is 42% above the median hospital's median price ($187), higher than 75% 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: 11 payers, 28 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 healthy blue medicaid fee schedule · outpatient | $95.07 | $81.69 | $54.92 – $95.07 |
| 2 | UnitedHealthcare medicaid fee schedule · outpatient | $95.07 | $81.69 | $54.92 – $95.07 |
| 3 | WellCare medicaid fee schedule · outpatient | $95.07 | $81.69 | $54.92 – $95.07 |
| 4 | Cigna aca fee schedule · outpatient | $194.27 | $166.92 | $112.23 – $194.27 |
| 5 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $172.15 | $172.15 | $172.15 – $172.15 |
| 6 | Humana medicare fee schedule · outpatient | $172.15 | $172.15 | $172.15 – $172.15 |
| 7 | UnitedHealthcare medicare fee schedule · outpatient | $172.15 | $172.15 | $172.15 – $172.15 |
| 8 | Caresource qualified health plan fee schedule · outpatient | $200.80 | $172.53 | $116.00 – $200.80 |
| 9 | Aetna medicare fee schedule · outpatient | $176.45 | $176.45 | $176.45 – $176.45 |
| 10 | Cigna healthspring fee schedule · outpatient | $177.31 | $177.31 | $177.31 – $177.31 |
| 11 | Blue Cross Blue Shield blue home fee schedule · outpatient | $262.04 | $225.15 | $151.38 – $262.04 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $271.08 | $232.92 | $156.60 – $271.08 |
| 13 | Cigna commercial fee schedule · outpatient | $298.18 | $256.21 | $172.26 – $298.18 |
| 14 | Aetna commercial fee schedule · outpatient | $309.23 | $265.70 | $178.64 – $309.23 |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $337.84 | $290.28 | $195.17 – $337.84 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $344.87 | $296.32 | $199.23 – $344.87 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $344.87 | $296.32 | $199.23 – $344.87 |
| 18 | Humana commercial fee schedule · outpatient | $391.05 | $336.00 | $225.91 – $391.05 |
| 19 | Aetna aca fee schedule · outpatient | $401.60 | $345.07 | $232.00 – $401.60 |
| 20 | Aetna first health fee schedule · outpatient | $401.60 | $345.07 | $232.00 – $401.60 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $401.60 | $345.07 | $232.00 – $401.60 |
| 22 | Aetna rental network products fee schedule · outpatient | $401.60 | $345.07 | $232.00 – $401.60 |
| 23 | Aetna whole health non-multitier fee schedule · outpatient | $401.60 | $345.07 | $232.00 – $401.60 |
| 24 | Medcost mbs fee schedule · outpatient | $426.70 | $366.63 | $246.50 – $426.70 |
| 25 | Beechstreet commercial fee schedule · outpatient | $451.80 | $388.20 | $261.00 – $451.80 |
Last updated: Mar 30, 2026
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