CMS Price Transparency Data

Psychotherapy session (45 minutes)

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

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $134
Cash Discount Price: $142
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.74x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $142 (78%)

Insurance Median: $134 (74%)

Cash: $142 (78% of Medicare)

Ins. Median: $134 (74% 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
The Alliance	$76	42%
Security Health Plan (Shp)	$77 - $153	42%
Amish/Mennonite	$82	45%
Quartz	$85 - $153	47%
Wps Health Insurance	$100	55%
Cigna	$101 - $110	56%
Health Payment Systems	$104	57%
UnitedHealthcare	$112 - $153	62%
Humana	$118 - $153	65%
Group Health Cooperative Of Eau Claire	$122 - $162	67%
Network Health Plan	$124 - $153	68%
First Health	$127	70%
Molina Healthcare Of Wi	$127 - $153	70%
Trilogy	$134	74%
Healtheos By Multiplan Inc.	$139 - $142	77%
Health Partners	$142	78%
Coventry	$143	79%
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

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $142.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Beaver Dam (Mmc-Bd) is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
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.