Group therapy session
Facility: Sbh Green Bay, LLC D/B/A Willow Creek Behavioral Health
Billing Code: 90853 (CPT)
- CPT Billing Code: 90853
- Insurance Median: $250
- Cash Discount Price: $300
- vs. Medicare Baseline: 2.41x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Elderplan Extra Help | $65 - $98 | 63% |
| Medicare (plans) | $70 - $218 | 67% |
| Tricare | $70 - $321 | 67% |
| Humana | $74 - $259 | 71% |
| UnitedHealthcare | $100 - $474 | 96% |
| Gpa Group & Pension Administrators | $144 | 139% |
| Molina Healthcare Commercial | $170 | 164% |
| Administrative Concepts | $175 | 169% |
| All Savers | $175 - $275 | 169% |
| Aspirus Wps- Don'T Use Anymore | $175 | 169% |
| Benefit Administrative Services | $175 | 169% |
| Kbic Health System | $175 | 169% |
| Maestro Health | $175 | 169% |
| Medica Behavior Health | $175 | 169% |
| Va Office Of Integrated Care | $175 | 169% |
| Aetna | $185 - $350 | 178% |
| Aither Health | $210 | 202% |
| Blue Cross Blue Shield | $210 - $474 | 202% |
| Aarp Supplement Plan | $212 | 204% |
| Benefit Plan Admininstrators | $212 | 204% |
| Cypress Benefits | $212 | 204% |
| Eau Claire Human Services | $212 | 204% |
| Federated Mutal Insurance Co | $212 | 204% |
| Forest Cty Potawatomi Community | $212 | 204% |
| Health Payment Syst | $212 | 204% |
| Kaiser Permanente | $212 | 204% |
| Manitowoc County Dhs | $212 | 204% |
| Marathon County | $212 | 204% |
| Mayo Clinic Health Solutions | $212 | 204% |
| Mdhhs: Gogebic Community Mental Health | $212 | 204% |
| Mdhhs: North Pointe Hhs | $212 | 204% |
| Medicaid / KanCare | $212 - $474 | 204% |
| My Health Link Plan | $212 | 204% |
| Oneida Nation/Purchase & Referrals | $212 | 204% |
| Pan American Life Insurane Co | $212 | 204% |
| Prairie States Enterprises Inc | $212 | 204% |
| Preferred One Admin Services | $212 | 204% |
| Saginaw Cmh | $212 | 204% |
| Stockbridge-Munsee Health And Wellness | $212 | 204% |
| Superior | $212 | 204% |
| Unicare | $212 | 204% |
| Wps Health Plan - Sca | $212 | 204% |
| Cigna | $215 - $250 | 207% |
| Network Health Hmo | $225 | 217% |
| Wea Trust Commercial | $225 | 217% |
| Mercycare Commerical | $241 | 232% |
| Beacon Health | $250 | 241% |
| Centivo Insurance | $250 | 241% |
| The Alliance Auxiant | $250 | 241% |
| Portage County Health And Human Services | $252 | 243% |
| Prevea 360 Commercial | $256 | 247% |
| Dean Health Plan | $261 | 251% |
| Prevea 360 Deancare Aso | $261 | 251% |
| Magellan Behavioral Health Systems | $275 | 265% |
| Wps Health Insurance | $275 | 265% |
| Security Health Commercial | $283 | 273% |
| Security Health Plan | $283 | 273% |
| Bind Benefits | $291 | 280% |
| Medica | $291 | 280% |
| Surest | $291 | 280% |
| United Behavioral Health | $291 | 280% |
| United Behavorial Health | $291 | 280% |
| Group Health Commercial | $300 | 289% |
| Golden Rule | $325 | 313% |
| Healthpartners | $325 | 313% |
| Lucent Health | $325 | 313% |
| Trilogy Commercial | $345 | 332% |
| Group Health Cooperative Of South Centra | $348 | 335% |
| Auxiant | $350 | 337% |
| Health Eos By Multiplan | $350 - $400 | 337% |
| Quartz | $350 | 337% |
| Simplan Administrators | $350 | 337% |
| The Benefit Group | $350 | 337% |
| Common Ground Commercial | $358 | 345% |
| Amerigroup | $474 | 457% |
| Children Come First Rise Wisconsin Inc | $474 | 457% |
| Chorus - Childrens Community Health Plan | $474 | 457% |
| Con-Forwardhealth | $474 | 457% |
| Group Health Coop South Central Wi | $474 | 457% |
| Managed Health Services-Managed Ma | $474 | 457% |
| Passport Health Plan | $474 - $951 | 457% |
| Together With Cchp | $474 | 457% |
| Aspirus Health Plan | $1,190 | 1147% |
| Network Health Plan Ppo | $1,190 | 1147% |