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
ROANOKE, VA
See all hospitals reporting CPT 90847 →Price type
Lewisgale Medical Center’s median price of $686 is 266% above the median hospital's median price ($187), higher than 98% 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, 9 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 | Cigna npr percent of total billed charges · outpatientfrom % of charges | $168.95 | $165.76 | $157.82 – $170.52 |
| 2 | Aetna sharedsavings percent of total billed charges · outpatientfrom % of charges | $349.56 | $342.96 | $326.52 – $352.80 |
| 3 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $354.42 | $347.73 | $331.06 – $357.70 |
| 4 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $389.37 | $382.02 | $363.71 – $392.98 |
| 5 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $427.24 | $419.17 | $399.08 – $431.20 |
| 6 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $436.95 | $428.70 | $408.15 – $441.00 |
| 7 | Aetna broad percent of total billed charges · outpatientfrom % of charges | $514.63 | $504.91 | $480.71 – $519.40 |
| 8 | MultiPlan phcs percent of total billed charges · outpatientfrom % of charges | $873.90 | $857.40 | $816.30 – $882.00 |
| 9 | Phcs comm percent of total billed charges · outpatientfrom % of charges | $873.90 | $857.40 | $816.30 – $882.00 |
Last updated: Mar 7, 2026
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