CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Prattville Baptist Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$168
about 0.9× the $181 Medicare rate · typically $159–$192
modeled estimate · not a bill or quote
What this hospital charges insurers
$185
About the fair price
about $17 over the fair price · 1.0× Medicare
Medicare pays $181 Fair price $168 This hospital $185 Cash price $137 Hospital's list price $229

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $141 Priciest $185

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $168 (about 0.9× the $181 Medicare rate). Prattville Baptist Hospital charges insurers about $185, or about $137 in cash — about the fair price. Located in Prattville, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $163 - $203 90%
Blue Cross Blue Shieldmajor $148 - $214 82%
Aetnamajor $215 119%
Cignamajor $219 121%
Humanamajor $155 85%
Ambetter (Centene) $207 114%
+ 4 smaller / regional plans $160 - $540
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 124 S Memorial Dr, Prattville, AL 36067
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals