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
FAM W PT 50 MIN
Tampa, FL
See all hospitals reporting CPT 90847 →Price type
Hca Florida South Tampa Hospital’s median price of $115 is 39% 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: 8 payers, 22 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 bsl percent of total billed charges · outpatientfrom % of charges | $53.02 | $53.02 | $53.02 – $53.02 |
| 2 | Blue Cross Blue Shield mbn percent of total billed charges · outpatientfrom % of charges | $53.02 | $53.02 | $53.02 – $53.02 |
| 3 | Blue Cross Blue Shield sbn percent of total billed charges · outpatientfrom % of charges | $53.02 | $53.02 | $53.02 – $53.02 |
| 4 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $69.47 | $69.47 | $69.47 – $69.47 |
| 5 | Blue Cross Blue Shield nwb percent of total billed charges · outpatientfrom % of charges | $78.00 | $78.00 | $78.00 – $78.00 |
| 6 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $78.00 | $78.00 | $78.00 – $78.00 |
| 7 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $91.41 | $91.41 | $91.41 – $91.41 |
| 8 | Aetna qhp percent of total billed charges · outpatientfrom % of charges | $96.89 | $96.89 | $96.89 – $96.89 |
| 9 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $99.94 | $99.94 | $99.94 – $99.94 |
| 10 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $109.69 | $109.69 | $109.69 – $109.69 |
| 11 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $109.69 | $109.69 | $109.69 – $109.69 |
| 12 | Molina mgmcr percent of total billed charges · outpatientfrom % of charges | $115.79 | $115.79 | $115.79 – $115.79 |
| 13 | Blue Cross Blue Shield phs percent of total billed charges · outpatientfrom % of charges | $127.97 | $127.97 | $127.97 – $127.97 |
| 14 | Aetna gatedcomm percent of total billed charges · outpatientfrom % of charges | $137.72 | $137.72 | $137.72 – $137.72 |
| 15 | Aetna nongatedcomm percent of total billed charges · outpatientfrom % of charges | $137.72 | $137.72 | $137.72 – $137.72 |
| 16 | Molina hix percent of total billed charges · outpatientfrom % of charges | $164.54 | $164.54 | $164.54 – $164.54 |
| 17 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $170.63 | $170.63 | $170.63 – $170.63 |
| 18 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $170.63 | $170.63 | $170.63 – $170.63 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $182.82 | $182.82 | $182.82 – $182.82 |
| 20 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $274.23 | $274.23 | $274.23 – $274.23 |
| 21 | MultiPlan primaryppo percent of total billed charges · outpatientfrom % of charges | $457.05 | $457.05 | $457.05 – $457.05 |
| 22 | MultiPlan complementaryppo percent of total billed charges · outpatientfrom % of charges | $517.99 | $517.99 | $517.99 – $517.99 |
Last updated: Mar 1, 2026
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