CMS Price Transparency Data

Family therapy session

Facility: Madison Hospital

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.6× the $181 Medicare rate · typically $93–$210
modeled estimate · not a bill or quote
What this hospital charges insurers
$102
About the fair price
about $1 under the fair price · 0.6× Medicare
Medicare pays $181 Fair price $103 This hospital $102 Cash price $213 Hospital's list price $250

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

One of the lower prices — 7 of 8 other MN hospitals charge more for the same procedure.

Cheapest $99 Priciest $153

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Family therapy session is about $103 (about 0.6× the $181 Medicare rate). Madison Hospital charges insurers about $102, or about $213 in cash — about the fair price. Located in Madison, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $85 - $2,713 47%
Blue Cross Blue Shieldmajor $85 - $2,713 47%
Aetnamajor $115 - $230 63%
Humanamajor $98 - $238 54%
HealthPartners $84 - $236 46%
Medica $92 - $212 51%
Sanford Health Plan $230 127%
+ 1 smaller / regional plan $91 - $209
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals