CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $236
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Froedtert Memorial Lutheran Hospital is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$236

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: $199 (110%)
Insurance Median: $236 (130%)
Cash: $199 (110% of Medicare)
Ins. Median: $236 (130% 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 $103 - $126 57%
Medical College Of Wisconsin $113 - $126 62%
Chorus Community Health Plan $134 - $149 74%
Froedtert South $137 - $152 76%
Blue Cross Blue Shield $163 - $324 90%
Community Care $163 90%
Health Partners $163 - $236 90%
Humana $163 90%
Icare $163 90%
Molina $163 90%
Network Health Plan $163 - $229 90%
Priority Health $163 90%
Quartz $163 90%
Security Health Plan $163 - $300 90%
UnitedHealthcare $163 - $236 90%
Upper Peninsula Health Plan $163 90%
Aetna $167 - $248 92%
Wellcare $167 92%
Care Wisconsin/Mychoice $168 93%
Sheboygan Employers Health Network $213 - $236 117%
Wisconsin Physician Services Statewide Alliance $216 - $240 119%
Trilogy $223 - $248 123%
Health Payment Systems $226 - $251 125%
Cigna $268 - $297 148%
Dean Health Plan $274 - $305 151%
Group Health Cooperative $274 - $305 151%
Healtheos $274 - $305 151%
Multiplan/Private Healthcare Systems $274 - $305 151%
Healthsmart $285 - $316 157%
Wisconsin Physician Services $292 - $324 161%
First Health Network $297 - $330 164%

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