CMS Price Transparency Data

Family therapy session

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $329
Cash Discount Price: $340
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a Family therapy session at University of Wi Hospitals & Clinics Authority is $329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.81x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.

Cash / Self-Pay

$340

Average discount available for prompt cash payment at this facility.

Insurance Median

$329

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: $340 (187%)

Insurance Median: $329 (181%)

Cash: $340 (187% of Medicare)

Ins. Median: $329 (181% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$181 - $454	100%
Blue Cross Blue Shield	$181 - $538	100%
Humana	$181	100%
Medicare (plans)	$181 - $185	100%
UnitedHealthcare	$181 - $354	100%
Alliance_Premier_Network	$270	149%
Mercycare	$281	155%
Triology	$289 - $345	159%
Security_Health_Plan	$306 - $359	169%
Employer'S_Coalition_On_Health	$311 - $436	172%
Alliance	$318	175%
Hfn	$323 - $436	178%
United_Healthcare	$324 - $481	179%
Beloit_Health_System	$328	181%
Aspirus_Health_Plan	$331	183%
Cigna	$340	187%
Health_Partners_Insurance	$345	190%
Health_Payment_Systems	$347	191%
Dean_Health_Plan	$362	200%
Medical_Associates	$374	206%
Wps	$392 - $432	216%
Employers_Healthcare_Coalition_Of_Wi	$396	218%
Aspirus_Network_Inc	$436	240%
Chorus_Community	$453	250%
Ghc_Eau_Claire_Health_Plan	$453	250%
Multiplan	$453 - $521	250%
Sheybogan_Employers_Health_Network	$453	250%
Coventry	$481	265%
Dean_Care	$481	265%
Healthsmart	$498	275%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $340.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Wi Hospitals & Clinics Authority is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.