CMS Price Transparency Data

Review of medical records for care

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $75
Cash Discount Price: $72
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at University of Wi Hospitals & Clinics Authority is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$75

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Medicare (plans)	$36 - $84	N/A
Blue Cross Blue Shield	$49 - $114	N/A
Alliance_Premier_Network	$57	N/A
Mercycare	$60	N/A
Triology	$61 - $73	N/A
Security_Health_Plan	$65 - $76	N/A
Employer'S_Coalition_On_Health	$66 - $92	N/A
Alliance	$67	N/A
Hfn	$68 - $92	N/A
United_Healthcare	$69 - $102	N/A
Aspirus_Health_Plan	$70	N/A
Beloit_Health_System	$70	N/A
Cigna	$72	N/A
Health_Partners_Insurance	$73	N/A
Health_Payment_Systems	$74	N/A
UnitedHealthcare	$75	N/A
Dean_Health_Plan	$77	N/A
Medical_Associates	$79	N/A
Wps	$83 - $92	N/A
Employers_Healthcare_Coalition_Of_Wi	$84	N/A
Aetna	$86 - $96	N/A
Aspirus_Network_Inc	$92	N/A
Chorus_Community	$96	N/A
Ghc_Eau_Claire_Health_Plan	$96	N/A
Multiplan	$96 - $110	N/A
Sheybogan_Employers_Health_Network	$96	N/A
Coventry	$102	N/A
Dean_Care	$102	N/A
Healthsmart	$106	N/A

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 $72.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

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 90889.
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.