CMS Price Transparency Data

Family therapy session

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $133
  • Cash Discount Price: $155
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.
Cash / Self-Pay
$155

Average discount available for prompt cash payment at this facility.

Insurance Median
$133

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: $155 (85%)
Insurance Median: $133 (73%)
Cash: $155 (85% of Medicare)
Ins. Median: $133 (73% 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.

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
The Alliance $71 - $95 39%
Security Health Plan (Shp) $73 - $153 40%
Amish/Mennonite $77 - $103 42%
Quartz $80 - $153 44%
Wps Health Insurance $94 - $126 52%
Cigna $95 - $138 52%
Health Payment Systems $97 - $130 53%
UnitedHealthcare $105 - $153 58%
Humana $111 - $166 61%
Group Health Cooperative Of Eau Claire $115 - $178 63%
Network Health Plan $117 - $156 65%
First Health $119 - $159 66%
Molina Healthcare Of Wi $119 - $159 66%
Trilogy $126 - $168 69%
Healtheos By Multiplan Inc. $130 - $178 72%
Health Partners $133 - $178 73%
Coventry $134 - $180 74%
Managed Health Services $153 84%
Veteran'S Administration (Va Ccn) $153 84%
Blue Cross Blue Shield $158 - $477 87%
Icare $164 90%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 707 S University Ave, Beaver Dam, WI 53916
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals