CMS Price Transparency Data

Psychotherapy session (60 minutes)

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

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$166

about 0.9× the $181 Medicare rate · typically $153–$398

modeled estimate · not a bill or quote

What this hospital charges insurers

$153

About the fair price

about $13 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $166 This hospital $153 Cash price $213 Hospital's list price $224

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $134 Priciest $153

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

A fair price for a Psychotherapy session (60 minutes) is about $166 (about 0.9× the $181 Medicare rate). Marshfield Medical Center - Beaver Dam (Mmc-Bd) charges insurers about $153, or about $213 in cash — about the fair price. Located in Beaver Dam, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$153 - $168	84%
Blue Cross Blue Shieldmajor	$158 - $477	87%
Aetnamajor	$215	119%
Cignamajor	$152 - $166	84%
Humanamajor	$153 - $199	84%
HealthPartners	$213	117%
Molina	$153 - $190	84%
Quartz	$128 - $153	71%
Security Health Plan	$116 - $153	64%
+ 9 smaller / regional plans	$114 - $213

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 213), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Marshfield Medical Center - Beaver Dam (Mmc-Bd) is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Compare: Psychotherapy session (60 minutes) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.