CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Black River Memorial Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $113
Cash Discount Price: $132
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Black River Memorial Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.62x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$132

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $132 (73%)

Insurance Median: $113 (62%)

Cash: $132 (73% of Medicare)

Ins. Median: $113 (62% 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	$43 - $150	24%
Managed Health Services Insurance Corp	$43 - $150	24%
My Choice Wisconsin, Inc.	$43 - $150	24%
Quartz Health Solutions, Inc	$43 - $208	24%
Security Health Plan	$43 - $192	24%
The Alliance	$43 - $195	24%
UnitedHealthcare	$43 - $222	24%
Humana	$48 - $213	26%
Corvel	$57 - $140	31%
Group Health Cooperative Of Eau Claire	$72 - $222	40%
Inclusa	$72 - $150	40%
Triology Health Solutions	$85 - $218	47%
Medica	$88 - $214	49%
Association Benefits Solution	$89 - $218	49%
Family Health Center Of Marshfield	$89 - $218	49%
First Health Group Corporation	$89 - $218	49%
Provider Network Of America	$89 - $218	49%
Cigna	$91 - $222	50%
Cofinity	$91 - $222	50%
Coventry Health Care	$91 - $222	50%
Custom Benefit Administrators	$91 - $222	50%
Healthpartners, Inc.	$91 - $222	50%
Multiplan	$91 - $222	50%
Wisconsin Physicians Service Insurance Corp	$91 - $222	50%
Chorus	$92 - $224	51%

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 $132.
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 Black River Memorial Hospital 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.