CMS Price Transparency Data

Family therapy session

Facility: Childrens Hospital of Wisconsin

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $98
Cash Discount Price: $64
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Childrens Hospital of Wisconsin is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.54x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $64 (35%)

Insurance Median: $98 (54%)

Cash: $64 (35% of Medicare)

Ins. Median: $98 (54% 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
Froedtert Health	$81 - $98	45%
Medical College Of Wisconsin	$81	45%
Network Health Plan	$82	45%
UnitedHealthcare	$85 - $88	47%
Aspirus Health Plan	$87	48%
Common Ground Healthcare Cooperative	$87 - $98	48%
Trilogy Health Solutions	$87 - $98	48%
Wps Health Plan	$88 - $104	49%
Advocate Aurora Healthcare	$89	49%
Blue Cross Blue Shield	$90 - $110	50%
Centivo	$90	50%
Health Partners	$90 - $102	50%
Employer Health Care Alliance Cooperative	$91	50%
Dean Health Plan	$93	51%
Group Health Cooperative Of Eau Claire	$93	51%
Oan Llc	$93	51%
Security Health Plan	$96	53%
Health Payment Systems	$98	54%
Praire States	$98	54%
Quartz Health Insurance	$98	54%
Sheboygan Employer'S Health Network	$98	54%
Mayo Clinic Health Solutions	$101	56%
Aetna	$102 - $103	56%
Bellin Thedacare	$104	57%
Cigna	$104	57%
Group Health Cooperative Of South Central Wisconsin	$104	57%
Prevea Health Network	$104	57%
Multiplan	$105 - $110	58%
Coventry Health Care	$110	61%

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 $64.
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 Childrens Hospital of Wisconsin 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.