90847

Family psychotherapy with patient, 50 minutes

Medicare pricing data for 11,215 providers across 52 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Family psychotherapy with patient, 50 minutes (HCPCS code 90847) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $87.22, but hospitals typically charge $193.86 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.44

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $87.22, your out-of-pocket cost would be approximately $17.44. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$87.22
Average Hospital Charge
$193.86
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$193.86
Medicare Allowed$87.22
Medicare Payment$66.57

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $66.57 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$134$29316219+53.6%
California$97$2307619,883+11.4%
District of Columbia$93$16923261+6.2%
Hawaii$92$18045464+5.8%
Washington$92$193113981+5.0%
Puerto Rico$91$971853+4.5%
New York$91$2101,10214,583+4.1%
New Jersey$90$2016328,104+3.2%
Delaware$90$16851604+3.2%
Oregon$90$2501411,268+3.1%
Florida$88$1856405,762+1.4%
South Dakota$88$16521114+1.2%
Pennsylvania$88$1795885,802+1.1%
Massachusetts$88$1879129,826+0.9%
Texas$88$1923734,451+0.7%
New Hampshire$88$1731001,215+0.5%
Rhode Island$87$18091783-0.3%
Illinois$87$2045366,434-0.4%
Arizona$87$195108741-0.7%
West Virginia$86$17723185-1.2%
Georgia$85$1981571,647-2.0%
Tennessee$84$156111667-3.3%
Colorado$84$2102121,578-3.3%
Virginia$84$1723193,272-3.5%
South Carolina$84$160120970-4.1%
Alabama$83$15946250-4.4%
Nevada$83$18475916-4.7%
Ohio$83$1642842,046-4.9%
Minnesota$83$2172861,846-5.0%
Maryland$83$1665003,991-5.1%
Vermont$82$18398938-5.9%
Connecticut$81$1863134,692-6.6%
Michigan$81$1744563,077-6.8%
Kentucky$81$15389394-7.0%
Oklahoma$80$13660342-7.9%
Arkansas$80$17284382-7.9%
Missouri$80$163121932-8.0%
Wyoming$80$19629241-8.4%
Wisconsin$79$2562141,258-9.0%
Indiana$79$1502521,780-9.4%
Nebraska$79$19479475-9.7%
North Carolina$79$1962632,104-9.8%
Iowa$78$19671535-10.0%
New Mexico$78$15786687-10.1%
Kansas$78$15996615-10.3%
Idaho$78$16495674-10.4%
North Dakota$78$24616107-11.0%
Maine$77$154111714-11.5%
Utah$77$16256292-12.0%
Mississippi$76$19128118-13.3%
Montana$75$18849356-13.5%
Louisiana$75$17270365-13.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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