CMS Price Transparency Data

Group therapy session

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$103
about 1.0× the $104 Medicare rate · typically $59–$214
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $9 under the fair price · 0.9× Medicare
Medicare pays $104 Fair price $103 This hospital $94 Cash price $174 Hospital's list price $316

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 $26 Priciest $94

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $103 (about 1.0× the $104 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $94, or about $174 in cash — about the fair price. Located in Milwaukee, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $94 - $196 91%
Blue Cross Blue Shieldmajor $94 - $269 91%
Aetnamajor $96 - $205 92%
Cignamajor $246 237%
Humanamajor $94 91%
Dean Health Plan $253 244%
Health Net $196 189%
HealthPartners $94 - $196 91%
Molina $94 91%
Priority Health $94 91%
Quartz $94 91%
Security Health Plan $94 - $248 91%
WellCare $96 92%
+ 15 smaller / regional plans $94 - $269
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals