CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Childrens Hospital of Wisconsin

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $117
Cash Discount Price: $76
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Childrens Hospital of Wisconsin is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.65x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $76 (42%)

Insurance Median: $117 (65%)

Cash: $76 (42% of Medicare)

Ins. Median: $117 (65% 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	$97 - $118	53%
Medical College Of Wisconsin	$97	53%
Network Health Plan	$99	55%
UnitedHealthcare	$102 - $106	56%
Aspirus Health Plan	$104	57%
Common Ground Healthcare Cooperative	$104 - $118	57%
Trilogy Health Solutions	$104 - $118	57%
Wps Health Plan	$105 - $125	58%
Advocate Aurora Healthcare	$107	59%
Blue Cross Blue Shield	$108 - $132	60%
Centivo	$108	60%
Health Partners	$108 - $122	60%
Employer Health Care Alliance Cooperative	$109	60%
Dean Health Plan	$111	61%
Group Health Cooperative Of Eau Claire	$111	61%
Oan Llc	$111	61%
Security Health Plan	$115	63%
Health Payment Systems	$117	65%
Praire States	$118	65%
Quartz Health Insurance	$118	65%
Sheboygan Employer'S Health Network	$118	65%
Mayo Clinic Health Solutions	$121	67%
Aetna	$122 - $123	67%
Bellin Thedacare	$125	69%
Cigna	$125	69%
Group Health Cooperative Of South Central Wisconsin	$125	69%
Prevea Health Network	$125	69%
Multiplan	$126 - $132	69%
Coventry Health Care	$132	73%

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 $76.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

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 90837.
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.