CMS Price Transparency Data

Family therapy session

Facility: Marshfield Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $167
Cash Discount Price: $178
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Marshfield Medical Center is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.92x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $178 (98%)

Insurance Median: $167 (92%)

Cash: $178 (98% of Medicare)

Ins. Median: $167 (92% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Family Health Center (Fhc)	$94	52%
Security Health Plan (Shp)	$95 - $153	52%
Amish/Mennonite	$103	57%
Sanford Health Plan	$103	57%
The Alliance	$130 - $156	72%
Blue Cross Blue Shield	$142 - $165	78%
Group Health Cooperative Of Eau Claire	$153 - $172	84%
Veteran'S Administration (Va Ccn)	$153	84%
Besse Forest Products	$159	88%
Molina Healthcare Of Wi	$159	88%
Rice Lake School District	$159	88%
Wps Health Insurance	$165 - $180	91%
Trilogy	$168 - $180	93%
UnitedHealthcare	$170	94%
Medica Of Wi	$174 - $177	96%
Cigna	$176	97%
Healtheos By Multiplan Inc.	$176 - $178	97%
Corvel	$178	98%
First Health	$178	98%
Health Partners	$178	98%
Three Rivers Provider Network (Trpn)	$178	98%
Coventry	$180	99%
Health Smart	$180	99%
Rising Medical Work Comp	$181	100%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $178.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.