CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $276
  • Cash Discount Price: $284
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at University of Wi Hospitals & Clinics Authority is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.52x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$284

Average discount available for prompt cash payment at this facility.

Insurance Median
$276

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: $284 (157%)
Insurance Median: $276 (152%)
Cash: $284 (157% of Medicare)
Ins. Median: $276 (152% 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
Aetna $181 - $380 100%
Blue Cross Blue Shield $181 - $450 100%
Humana $181 100%
Medicare (plans) $181 - $185 100%
UnitedHealthcare $181 - $297 100%
Alliance_Premier_Network $226 125%
Mercycare $235 130%
Triology $242 - $289 133%
Security_Health_Plan $256 - $301 141%
Employer'S_Coalition_On_Health $261 - $365 144%
Alliance $267 147%
Hfn $270 - $365 149%
United_Healthcare $272 - $402 150%
Beloit_Health_System $275 152%
Aspirus_Health_Plan $277 153%
Cigna $284 157%
Health_Partners_Insurance $289 159%
Health_Payment_Systems $291 160%
Dean_Health_Plan $303 167%
Medical_Associates $313 173%
Wps $328 - $362 181%
Employers_Healthcare_Coalition_Of_Wi $332 183%
Aspirus_Network_Inc $365 201%
Chorus_Community $379 209%
Ghc_Eau_Claire_Health_Plan $379 209%
Multiplan $379 - $436 209%
Sheybogan_Employers_Health_Network $379 209%
Coventry $403 222%
Dean_Care $403 222%
Healthsmart $417 230%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals