CMS Price Transparency Data

Family therapy session

Facility: Black River Memorial Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $109
Cash Discount Price: $104
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Black River Memorial Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.60x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $104 (57%)

Insurance Median: $109 (60%)

Cash: $104 (57% of Medicare)

Ins. Median: $109 (60% 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
Blue Cross Blue Shield	$18 - $150	10%
Managed Health Services Insurance Corp	$18 - $150	10%
My Choice Wisconsin, Inc.	$18 - $150	10%
Quartz Health Solutions, Inc	$18 - $157	10%
Security Health Plan	$18 - $144	10%
The Alliance	$18 - $146	10%
UnitedHealthcare	$18 - $167	10%
Multiplan	$55 - $167	30%
Humana	$59 - $160	33%
Corvel	$70 - $105	39%
Group Health Cooperative Of Eau Claire	$72 - $167	40%
Inclusa	$72 - $150	40%
Triology Health Solutions	$104 - $163	57%
Medica	$107 - $161	59%
Association Benefits Solution	$109 - $163	60%
Family Health Center Of Marshfield	$109 - $163	60%
First Health Group Corporation	$109 - $163	60%
Provider Network Of America	$109 - $163	60%
Cigna	$112 - $167	62%
Cofinity	$112 - $167	62%
Coventry Health Care	$112 - $167	62%
Custom Benefit Administrators	$112 - $167	62%
Healthpartners, Inc.	$112 - $167	62%
Wisconsin Physicians Service Insurance Corp	$112 - $167	62%
Chorus	$113 - $169	62%

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 $104.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Black River Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
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.