CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Winter Haven Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$175
about 1.0× the $181 Medicare rate · typically $168–$185
modeled estimate · not a bill or quote
What this hospital charges insurers
$168
About the fair price
about $7 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $175 This hospital $168 Cash price $224 Hospital's list price $374

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $135 Priciest $168

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

A fair price for a Psychiatric evaluation (first visit) is about $175 (about 1.0× the $181 Medicare rate). Winter Haven Hospital charges insurers about $168, or about $224 in cash — about the fair price. Located in Winter Haven, FL.

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 $160 - $399 88%
Blue Cross Blue Shieldmajor $112 - $230 62%
Aetnamajor $161 - $325 89%
Cignamajor $184 - $347 101%
Humanamajor $164 - $202 90%
Ambetter (Centene) $349 - $411 192%
AvMed $108 - $196 60%
Molina $63 - $236 35%
Simply Healthcare $63 - $165 35%
WellCare $226 125%
+ 12 smaller / regional plans $105 - $185
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Ave F Ne, Winter Haven, FL 33881
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals