Family therapy session
Facility: Gundersen Lutheran Medical Center
Billing Code: 90847 (CPT)
This hospital's typical commercial price is $152 compared to the $158 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.96× fair market pricing.
On the higher side — 7 of 8 other WI hospitals charge less.
Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.
A fair price for a Family therapy session is about $158 (about 0.9× the $181 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $152, or about $113 in cash — about the fair price. Located in La Crosse, WI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
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 | $72 - $231 | 40% |
| Blue Cross Blue Shieldmajor | $66 - $318 | 36% |
| Aetnamajor | $188 - $269 | 104% |
| Cignamajor | $218 | 120% |
| Amerigroup | $72 - $188 | 40% |
| HealthPartners | $142 - $250 | 78% |
| Medica | $95 - $213 | 52% |
| Molina | $72 | 40% |
| Quartz | $72 - $188 | 40% |
| UCare | $152 - $226 | 84% |
| + 16 smaller / regional plans | $67 - $275 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Gundersen Lutheran Medical Center
Compare: Family therapy session at other WI hospitals
- Edgerton Hospital and Health Services · Edgerton $89
- Black River Memorial Hospital · Black River Falls $90
- Memorial Hospital of Lafayette County · Darlington $113
- Richland Hospital · Richland Center $117
- Norwood Health Center · Marshfield $119
- Thedacare Regional Med Ctr - Neenah · Neenah $149
- SSM Health St Mary's Hospital - Madison · Madison $151
- Marshfield Medical Center - Beaver Dam (Mmc-Bd) · Beaver Dam $153
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Gundersen Lutheran Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $103
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $103).
Self-Pay Cash Rate ($113) Beats Your Bill
Gundersen Lutheran Medical Center's published 45 CFR § 180 self-pay cash rate is $113 (vs. $152 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $158 Fair BaseRate ($181 Medicare)
Your bill ($283) is $125 above the denoised Fair BaseRate ($158) and 1.6× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.