CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $191
Cash Discount Price: $197
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at University of Wi Hospitals & Clinics Authority is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$191

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: $197 (109%)

Insurance Median: $191 (105%)

Cash: $197 (109% of Medicare)

Ins. Median: $191 (105% 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
Blue Cross Blue Shield	$134 - $313	74%
Alliance_Premier_Network	$157	87%
Mercycare	$163	90%
Triology	$168 - $201	93%
Security_Health_Plan	$178 - $209	98%
Aetna	$181 - $264	100%
Employer'S_Coalition_On_Health	$181 - $253	100%
Humana	$181	100%
Medicare (plans)	$181 - $185	100%
UnitedHealthcare	$181 - $206	100%
Alliance	$185	102%
Hfn	$188 - $253	104%
United_Healthcare	$189 - $279	104%
Beloit_Health_System	$191	105%
Aspirus_Health_Plan	$192	106%
Cigna	$197	109%
Health_Partners_Insurance	$201	111%
Health_Payment_Systems	$202	111%
Dean_Health_Plan	$211	116%
Medical_Associates	$217	120%
Wps	$228 - $251	126%
Employers_Healthcare_Coalition_Of_Wi	$230	127%
Aspirus_Network_Inc	$253	140%
Chorus_Community	$263	145%
Ghc_Eau_Claire_Health_Plan	$263	145%
Multiplan	$263 - $303	145%
Sheybogan_Employers_Health_Network	$263	145%
Coventry	$280	154%
Dean_Care	$280	154%
Healthsmart	$290	160%

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 $197.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

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 90834.
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.