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
PULASKI, VA
See all hospitals reporting CPT 90847 →Price type
Lewisgale Hospital Pulaski’s median price of $720 is 285% above the median hospital's median price ($187), higher than 99% 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: 5 payers, 8 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 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $327.32 | $327.32 | $327.32 – $327.32 |
| 2 | Aetna sharedsavings percent of total billed charges · outpatientfrom % of charges | $352.80 | $352.80 | $352.80 – $352.80 |
| 3 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $406.70 | $406.70 | $406.70 – $406.70 |
| 4 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $406.70 | $406.70 | $406.70 – $406.70 |
| 5 | Aetna broad percent of total billed charges · outpatientfrom % of charges | $441.00 | $441.00 | $441.00 – $441.00 |
| 6 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $441.00 | $441.00 | $441.00 – $441.00 |
| 7 | MultiPlan phcs percent of total billed charges · outpatientfrom % of charges | $754.60 | $754.60 | $754.60 – $754.60 |
| 8 | Phcs comm percent of total billed charges · outpatientfrom % of charges | $882.00 | $882.00 | $882.00 – $882.00 |
Last updated: Mar 7, 2026
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