CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $241
  • Cash Discount Price: $203
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Froedtert Memorial Lutheran Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.33x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$203

Average discount available for prompt cash payment at this facility.

Insurance Median
$241

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: $203 (112%)
Insurance Median: $241 (133%)
Cash: $203 (112% of Medicare)
Ins. Median: $241 (133% 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
Centivo $105 - $128 58%
Medical College Of Wisconsin $115 - $128 63%
Chorus Community Health Plan $136 - $151 75%
Froedtert South $140 - $155 77%
Blue Cross Blue Shield $163 - $330 90%
Community Care $163 90%
Health Partners $163 - $241 90%
Humana $163 90%
Icare $163 90%
Molina $163 90%
Network Health Plan $163 - $234 90%
Priority Health $163 90%
Quartz $163 90%
Security Health Plan $163 - $305 90%
UnitedHealthcare $163 - $241 90%
Upper Peninsula Health Plan $163 90%
Aetna $167 - $252 92%
Wellcare $167 92%
Care Wisconsin/Mychoice $168 93%
Sheboygan Employers Health Network $216 - $241 119%
Wisconsin Physician Services Statewide Alliance $220 - $244 121%
Trilogy $227 - $252 125%
Health Payment Systems $230 - $255 127%
Cigna $272 - $303 150%
Dean Health Plan $279 - $310 154%
Group Health Cooperative $279 - $310 154%
Healtheos $279 - $310 154%
Multiplan/Private Healthcare Systems $279 - $310 154%
Healthsmart $290 - $322 160%
Wisconsin Physician Services $297 - $330 164%
First Health Network $302 - $336 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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