CMS Price Transparency Data

Psychotherapy session (60 minutes)

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

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $177
  • Cash Discount Price: $213
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.
Cash / Self-Pay
$213

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $213 (117%)
Insurance Median: $177 (98%)
Cash: $213 (117% of Medicare)
Ins. Median: $177 (98% 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 $114 63%
Security Health Plan (Shp) $116 - $153 64%
Amish/Mennonite $123 68%
Quartz $128 - $153 71%
Wps Health Insurance $151 83%
Cigna $152 - $166 84%
Humana $153 - $199 84%
Managed Health Services $153 84%
Molina Healthcare Of Wi $153 - $190 84%
Network Health Plan $153 - $187 84%
UnitedHealthcare $153 - $168 84%
Veteran'S Administration (Va Ccn) $153 84%
Health Payment Systems $156 86%
Blue Cross Blue Shield $158 - $477 87%
Group Health Cooperative Of Eau Claire $162 - $213 89%
Icare $164 90%
First Health $190 105%
Trilogy $202 111%
Healtheos By Multiplan Inc. $208 - $213 115%
Health Partners $213 117%
Coventry $215 119%

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