CMS Price Transparency Data

Family therapy session

Facility: Unitypoint Health - Meriter

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$155

about 0.9× the $181 Medicare rate · typically $130–$243

modeled estimate · not a bill or quote

What this hospital charges insurers

$155

About the fair price

0.9× Medicare

Medicare pays $181 Fair price $155 This hospital $155 Cash price $234 Hospital's list price $293

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 $90 Priciest $155

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 $155 (about 0.9× the $181 Medicare rate). Unitypoint Health - Meriter charges insurers about $155, or about $234 in cash — about the fair price. Located in Madison, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$101 - $239	56%
Blue Cross Blue Shieldmajor	$101 - $382	56%
Cignamajor	$33 - $121	18%
Humanamajor	$106 - $155	58%
HealthPartners	$147 - $160	81%
Meridian	$106 - $155	58%
Quartz	$126	69%
Security Health Plan	$35 - $125	19%
+ 5 smaller / regional plans	$27 - $432

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 234), 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: 90847.

Insurance Before you use insurance

Call your insurance company to confirm Unitypoint Health - Meriter is in-network.
Ask your insurer whether prior approval is required for CPT code 90847.
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 Unitypoint Health - Meriter

Compare: Family therapy session at other WI hospitals

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