CMS Price Transparency Data

Group therapy session

Facility: Marshfield Medical Center - Minocqua

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $50
Cash Discount Price: $50
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Marshfield Medical Center - Minocqua is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.48x the Medicare baseline. Located in 9576 Highway 70, Minocqua, WI.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)

Cash / Self-Pay: $50 (48%)

Insurance Median: $50 (48%)

Cash: $50 (48% of Medicare)

Ins. Median: $50 (48% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 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)	$26	25%
Security Health Plan (Shp)	$28 - $88	27%
Amish/Mennonite	$29	28%
Sanford Health Plan	$29	28%
The Alliance	$37 - $44	36%
Group Health Cooperative Of Eau Claire	$43 - $93	41%
UnitedHealthcare	$44	42%
Besse Forest Products	$45	43%
Molina Healthcare Of Wi	$45	43%
Rice Lake School District	$45	43%
Wps Health Insurance	$47 - $51	45%
Medica Of Wi	$49 - $50	47%
Cigna	$50	48%
Corvel	$50	48%
First Health	$50	48%
Health Partners	$50	48%
Healtheos By Multiplan Inc.	$50	48%
Three Rivers Provider Network (Trpn)	$50	48%
Coventry	$51	49%
Health Smart	$51	49%
Rising Medical Work Comp	$51	49%
Trilogy	$51	49%
Veteran'S Administration (Va Ccn)	$88	85%
Blue Cross Blue Shield	$90 - $264	87%
Point Comfort Underwriters	$97	93%

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 $50.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Minocqua is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90853.
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.