CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Marshfield Medical Center - Eau Claire

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $142
Cash Discount Price: $142
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Marshfield Medical Center - Eau Claire is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.78x the Medicare baseline. Located in 2310 Craig Rd, Eau Claire, WI.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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: $142 (78%)

Insurance Median: $142 (78%)

Cash: $142 (78% of Medicare)

Ins. Median: $142 (78% 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.

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
Family Health Center (Fhc)	$74	41%
Security Health Plan (Shp)	$79 - $154	44%
Amish/Mennonite	$82	45%
Sanford Health Plan	$82	45%
The Alliance	$104 - $123	57%
Group Health Cooperative Of Eau Claire	$122 - $163	67%
UnitedHealthcare	$123	68%
Besse Forest Products	$127	70%
Molina Healthcare Of Wi	$127	70%
Rice Lake School District	$127	70%
Wps Health Insurance	$132 - $144	73%
Medica Of Wi	$139 - $142	77%
Cigna	$142	78%
Corvel	$142	78%
First Health	$142	78%
Health Partners	$142	78%
Healtheos By Multiplan Inc.	$142	78%
Three Rivers Provider Network (Trpn)	$142	78%
Trilogy	$142 - $143	78%
Coventry	$143	79%
Health Smart	$143	79%
Rising Medical Work Comp	$145	80%
Veteran'S Administration (Va Ccn)	$154	85%
Blue Cross Blue Shield	$159 - $264	88%
Point Comfort Underwriters	$170	94%

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 $142.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Eau Claire is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90834.
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.