CMS Price Transparency Data
Group therapy session
Facility: Marshfield Medical Center - Eau Claire
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$139
about 1.3× the $104 Medicare rate · typically $61–$246
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $139 Cash price $50 Hospital's list price $53
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $44 | 42% |
| Blue Cross Blue Shieldmajor | $91 - $264 | 88% |
| Aetnamajor | $51 | 49% |
| Cignamajor | $50 | 48% |
| HealthPartners | $50 | 48% |
| Medica | $49 - $50 | 47% |
| Molina | $45 | 43% |
| Sanford Health Plan | $29 | 28% |
| Security Health Plan | $28 - $89 | 27% |
| + 10 smaller / regional plans | $26 - $98 |
Government programs also on file: Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
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Other Procedures at Marshfield Medical Center - Eau Claire
Compare: Group therapy session at other WI hospitals
- Memorial Hospital of Lafayette County · Darlington $26
- Richland Hospital · Richland Center $28
- Crossing Rivers Health Medical Center · Prairie Du Chien $33
- Hudson Hospital · Hudson $66
- Unitypoint Health - Meriter · Madison $71
- Bellin Memorial Hospital · Green Bay $85
- Holy Family Memorial · Manitowoc $88
- Fort Memorial Hospital · Fort Atkinson $89
Insurance negotiated median for the same procedure, sorted lowest first.