CMS Price Transparency Data

Group therapy session

Facility: Gundersen Lutheran Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 0.9× the $104 Medicare rate · typically $56–$136
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
0.9× Medicare
Medicare pays $104 Fair price $92 This hospital $92 Cash price $51 Hospital's list price $135

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 $26 Priciest $92

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

A fair price for a Group therapy session is about $92 (about 0.9× the $104 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $92, or about $51 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.

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 $92 - $110 89%
Blue Cross Blue Shieldmajor $34 - $166 33%
Aetnamajor $59 - $128 57%
Cignamajor $111 107%
Humanamajor $128 123%
Amerigroup $85 - $108 82%
Dean Health Plan $57 55%
HealthPartners $68 - $119 66%
Medica $45 - $103 43%
Molina $85 - $108 82%
Quartz $57 55%
UCare $54 - $108 52%
+ 15 smaller / regional plans $92 - $122
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1910 South Ave, La Crosse, WI 54601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals