CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Gundersen Lutheran Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $159
  • Cash Discount Price: $106
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Gundersen Lutheran Medical Center is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 1910 South Ave, La Crosse, WI.
Cash / Self-Pay
$106

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $106 (58%)
Insurance Median: $159 (88%)
Cash: $106 (58% of Medicare)
Ins. Median: $159 (88% 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
Amerigroup $63 - $159 35%
Blue Cross Blue Shield $63 - $318 35%
Group Health Eau Claire $63 - $254 35%
Group Health Of South Central $63 - $226 35%
Icare $63 - $159 35%
Iowa Total Care $63 35%
Managed Health Service $63 35%
Molina Health $63 - $153 35%
UnitedHealthcare $63 - $230 35%
Medica $94 - $216 52%
Ucare $113 - $226 62%
Dean Health Plan $118 65%
Quartz $119 66%
Aetna $124 - $268 68%
Health Partners $141 - $249 78%
Medical Associates $159 - $212 88%
Midland Choice $212 117%
Alliance $221 - $237 122%
Claim Doc Llc $226 125%
Wps Narrow Network $229 126%
Cigna $231 127%
Wps - Arise $232 128%
Aspirus Arise Health $234 129%
Wps Statewide $239 132%
Allied National General $240 132%
Preferred One $240 132%
Coventry Health Care $268 148%
Humana $268 148%
Multiplan/Healtheos $271 149%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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