CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Mercy Regional Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$136
about 0.8× the $181 Medicare rate · typically $115–$164
modeled estimate · not a bill or quote
What this hospital charges insurers
$141
About the fair price
about $5 over the fair price · 0.8× Medicare
Medicare pays $181 Fair price $136 This hospital $141

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

One of the lower prices — 0 of 8 other CO hospitals charge more for the same procedure.

Cheapest $139 Priciest $141

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

A fair price for a Psychiatric evaluation (first visit) is about $136 (about 0.8× the $181 Medicare rate). Mercy Regional Medical Center charges insurers about $141 — about the fair price. Located in Durango, CO.

What each insurance company pays

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

6 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 $141 78%
Blue Cross Blue Shieldmajor $141 - $1,356 78%
Aetnamajor $141 78%
Cignamajor $141 78%
Humanamajor $141 78%
Kaiser Permanentemajor $141 78%
+ 3 smaller / regional plans $141
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1010 Three Springs Blvd, Durango, CO 81301
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals