CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Holy Cross Hospital
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $160
- Cash Discount Price: $290
- vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Holy Cross Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 4725 N Federal Hwy, Ft Lauderdale, FL.
Cash / Self-Pay
$290
Average discount available for prompt cash payment at this facility.
Insurance Median
$160
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: $290 (160%)
Insurance Median: $160 (88%)
Cash: $290 (160% of Medicare)
Ins. Median: $160 (88% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $98 - $419 | 54% |
| Avmed Health Plan | $105 - $147 | 58% |
| Community Care Plan | $108 - $419 | 60% |
| Memorial Integrated Health | $108 - $226 | 60% |
| Aetna | $113 - $285 | 62% |
| Albany County Correctional Facility | $113 | 62% |
| Ambetter / Centene | $113 - $131 | 62% |
| Amish Mennonite | $113 | 62% |
| Ascension St. Vincent Public Safety Medical | $113 | 62% |
| Bcccp-Michigan | $113 | 62% |
| Bccp | $113 | 62% |
| Blue Cross Blue Shield | $113 - $776 | 62% |
| Bmc Healthnet | $113 | 62% |
| Breast Grant-Connecticut | $113 | 62% |
| Broward County Dept Of Health | $113 | 62% |
| California Health And Wellness | $113 | 62% |
| Cardinal Innovations Lme | $113 | 62% |
| Care Connections Of Northern Iowa | $113 | 62% |
| Care Oregon Ohp | $113 | 62% |
| Cencal Health Plan | $113 | 62% |
| Cenpatico | $113 | 62% |
| Chhuny | $113 | 62% |
| Childrens Comm Health Plan | $113 | 62% |
| Childrens Medical Services Title 19 | $113 | 62% |
| Cigna | $113 - $197 | 62% |
| City Of Philadelphia | $113 | 62% |
| Cmh Allegan County | $113 | 62% |
| Cmh Ausable Valley | $113 | 62% |
| Cmh Barry County | $113 | 62% |
| Cmh Bay-Arenac County | $113 | 62% |
| Cmh Berrien County | $113 | 62% |
| Cmh Cass County | $113 | 62% |
| Cmh Central Mi County | $113 | 62% |
| Cmh Clinton-Eaton-Ingham County | $113 | 62% |
| Cmh Detroit Wayne Integrated Health Network | $113 | 62% |
| Cmh Genesee County | $113 | 62% |
| Cmh Ionia County | $113 | 62% |
| Cmh Jackson County/Lifeways | $113 | 62% |
| Cmh Kalamazoo | $113 | 62% |
| Cmh Kent County | $113 | 62% |
| Cmh Lenawee County | $113 | 62% |
| Cmh Livingston County | $113 | 62% |
| Cmh Macomb | $113 | 62% |
| Cmh Misc | $113 | 62% |
| Cmh Monroe County | $113 | 62% |
| Cmh Montcalm County | $113 | 62% |
| Cmh Muskegon County | $113 | 62% |
| Cmh Newaygo County | $113 | 62% |
| Cmh North Country | $113 | 62% |
| Cmh Northern Lakes County | $113 | 62% |
| Cmh Oakland County | $113 | 62% |
| Cmh Ottawa County | $113 | 62% |
| Cmh Van Buren County | $113 | 62% |
| Cmh Washtenaw County | $113 | 62% |
| Cmh Wayne County/Carelink | $113 | 62% |
| Cmh Wayne Cty/Com Liv Svcs | $113 | 62% |
| Cmh West Mi County | $113 | 62% |
| Community Benefit Health | $113 | 62% |
| Community Care Behavorial Health | $113 | 62% |
| Community Care Partners | $113 | 62% |
| Community Health Choice | $113 | 62% |
| Connections Csp | $113 | 62% |
| County Coroner | $113 | 62% |
| County Funding Generic | $113 | 62% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $113 | 62% |
| Dean Wi Badgercare | $113 | 62% |
| Delaware County Department Of Health | $113 | 62% |
| Delaware First Health | $113 | 62% |
| Delta Dental Nj | $113 | 62% |
| Dph Tb Program | $113 | 62% |
| Dscc | $113 | 62% |
| Eastpointe Lme | $113 | 62% |
| Family Health Network | $113 | 62% |
| Freedom First Healthcare | $113 | 62% |
| Fresno County Ccs | $113 | 62% |
| Ghc Scw Wi Badgercare | $113 | 62% |
| Harbor Health | $113 | 62% |
| Health Safety Net | $113 | 62% |
| Healthy Blue Ne | $113 | 62% |
| Hennepin Health | $113 | 62% |
| Humana | $113 - $419 | 62% |
| Id County Ada | $113 | 62% |
| Id County Canyon | $113 | 62% |
| Id County Cat Fund | $113 | 62% |
| Id County Other | $113 | 62% |
| Id County Payette | $113 | 62% |
| Idaho Dept Health And Wellfare | $113 | 62% |
| Idaho Womens Health Check | $113 | 62% |
| Indiana Breast Cervical Cancer | $113 | 62% |
| Inland Empire Health Plan | $113 | 62% |
| Intercommunity Health Ohp | $113 | 62% |
| Iowa Total Care | $113 | 62% |
| Jai Medical System | $113 | 62% |
| Kern Family Health Plan | $113 | 62% |
| Keystone First | $113 | 62% |
| Keystone First Chip | $113 | 62% |
| La Care Health Plan | $113 | 62% |
| Lakeland Care Inc | $113 | 62% |
| Managed Health Services - Indiana | $113 | 62% |
| Maryland Breast & Cervical Program | $113 | 62% |
| Maryland Healthy Smiles - Scion Dental | $113 | 62% |
| Maryland Physicians Care | $113 | 62% |
| Massachusetts Behavioral Health Partnership | $113 | 62% |
| Mdwise | $113 | 62% |
| Medi-Cal | $113 | 62% |
| Medi-Cal Healthnet | $113 | 62% |
| Medstar Dc Healthy Family | $113 | 62% |
| Medstar Md Health Choice | $113 | 62% |
| Mo Home State Health Plan | $113 | 62% |
| Molina Centennial Care | $113 | 62% |
| Nascentia Health Options | $113 | 62% |
| Nebraska Total Care | $113 | 62% |
| New York Cancer Services Program | $113 | 62% |
| Nextlevel Health | $113 | 62% |
| Oregon Screenwise | $113 | 62% |
| Pace Of Southwest Michigan | $113 - $135 | 62% |
| Paramount Advantage | $113 | 62% |
| Parkland Community Health Plan | $113 | 62% |
| Partners Behavioral Lme | $113 | 62% |
| Peach State Healthplan | $113 | 62% |
| Philadelphia County Funding | $113 | 62% |
| Presbyterian Centennial Care | $113 | 62% |
| Prestige Health Choice | $113 | 62% |
| Priority Partners | $113 | 62% |
| Robert F Sing Program | $113 | 62% |
| Rx 340B Pass Along | $113 | 62% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $113 | 62% |
| Rx Medi-Cal | $113 | 62% |
| Rx Meridian Rx | $113 | 62% |
| Ryan White Florida Mssrp | $113 | 62% |
| Sandhills Center Lme | $113 | 62% |
| Screening For Life | $113 | 62% |
| St Joseph County Hlth Dpt | $113 | 62% |
| Stephenson Cty Health | $113 | 62% |
| Superior Health | $113 | 62% |
| Tenncare | $113 | 62% |
| Texas Children'S Health Plan | $113 | 62% |
| Trillium Community Ohp | $113 | 62% |
| Tufts Health Public Plans | $113 | 62% |
| UnitedHealthcare | $113 - $240 | 62% |
| Vaya Health Lme | $113 | 62% |
| Washtenaw Health Plan | $113 | 62% |
| Wellsense Health Plan | $113 | 62% |
| Wi Womens Wellness | $113 | 62% |
| Sunshine State Health Plan | $116 - $419 | 64% |
| Align Senior Care | $135 | 74% |
| Ally Align Care Adv | $135 | 74% |
| American Health Advantage Of Idaho | $135 | 74% |
| American Health Plan | $135 | 74% |
| Aurora Special Needs | $135 | 74% |
| Blue Care Network Advantage | $135 | 74% |
| Blue Shield - De (Highmark) Medciare Advantage | $135 | 74% |
| Care Dimensions | $135 | 74% |
| Care Improvement Plus | $135 | 74% |
| Care Resources Pace | $135 | 74% |
| Careplus Health Plans | $135 | 74% |
| Cca - Zing Health | $135 | 74% |
| Cca Senior Care Options | $135 | 74% |
| Central Valley Medical Services Corp Pace | $135 | 74% |
| Champion Health Plan Mcr Advantage | $135 | 74% |
| Clear Spring Health | $135 | 74% |
| Clover Health | $135 | 74% |
| Commonwealth Care Alliance | $135 | 74% |
| Community Pace At Home | $135 | 74% |
| Eddy Senior Care-Pace | $135 | 74% |
| Eddy Seniorcare Pace | $135 | 74% |
| Elementcare | $135 | 74% |
| Evercare | $135 | 74% |
| Everence | $135 | 74% |
| Gateway Health Plan | $135 | 74% |
| Genesys Pace Of Genesee County | $135 | 74% |
| Georgia Health Advantage | $135 | 74% |
| Gold Advantage | $135 | 74% |
| Gpa Croell Redi Mix | $135 | 74% |
| Health America Advantra | $135 | 74% |
| Highmark Health Options Dual Plan | $135 | 74% |
| Hope Select Pace | $135 | 74% |
| Horizon Nj Total Care | $135 | 74% |
| Hudson Headwaters Pace | $135 | 74% |
| Huron Valley Pace | $135 | 74% |
| Innovative Integrated Health Community Plans | $135 | 74% |
| Iowa Health Advantage | $135 | 74% |
| Johns Hopkins Advantage Md | $135 | 74% |
| Lasso Healthcare Msa | $135 | 74% |
| Life St Marys Pace | $135 | 74% |
| Lifecircles Pace | $135 | 74% |
| Longevity Health Plan | $135 | 74% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $135 | 74% |
| Martins Point Generations Advantage | $135 | 74% |
| Mass General Brigham Mcr Adv | $135 | 74% |
| Medicare (plans) | $135 - $145 | 74% |
| Medipak Advantage | $135 | 74% |
| Mercy Life | $135 | 74% |
| Mercyone Cedar Valley | $135 | 74% |
| Meridian Complete | $135 | 74% |
| Michigan Complete Health | $135 | 74% |
| Nascentia Health Plus | $135 | 74% |
| Osu Prime Care Advantage | $135 | 74% |
| Pace Cny | $135 | 74% |
| Pace Iowa Immanuel Pathways | $135 | 74% |
| Pace Southeast | $135 | 74% |
| Pace-Trinity Health | $135 | 74% |
| Peak Pace Solutions | $135 | 74% |
| Perennial Advantage | $135 | 74% |
| Preferred Care Partners | $135 | 74% |
| Presbyterian Senior Plan | $135 | 74% |
| Provider Partners Health Plan Of Illinois | $135 | 74% |
| Provider Partners Health Plan Of Indiana | $135 | 74% |
| Pruitthealth Premier | $135 | 74% |
| Reliance Community Care Partners Care Resources Pace | $135 | 74% |
| Rx Allwin | $135 | 74% |
| Rx Grane Grnmedd | $135 | 74% |
| Rx Retiree Rx Care | $135 | 74% |
| Scan Health Plan Mcr Ipa Meritage Oon | $135 | 74% |
| Secure Horizons Ma Pffs | $135 | 74% |
| Serenity Pace | $135 | 74% |
| Siouxland Pace | $135 | 74% |
| Sunnyview-Pace Finance Dept | $135 | 74% |
| Texan Plus | $135 | 74% |
| The Health Plan | $135 | 74% |
| Thome Pace | $135 | 74% |
| Todays Options | $135 | 74% |
| Tribute Health Plans | $135 | 74% |
| Um Health Advantage | $135 | 74% |
| Union Health Service | $135 | 74% |
| Welbe Health | $135 | 74% |
| Wellmed | $135 | 74% |
| New Centry Health Careplus | $138 | 76% |
| Veterans Administration | $138 | 76% |
| Champva | $140 | 77% |
| Tricare | $140 | 77% |
| Triwest Health Alliance | $140 | 77% |
| Us Family Health Plan | $140 | 77% |
| Veterans Eval Services | $140 | 77% |
| Solis Health Plans | $142 | 78% |
| Geha | $156 - $229 | 86% |
| Bcn Domestic | $163 - $763 | 90% |
| Blue Benefit Administrators Of Massachusetts | $163 - $763 | 90% |
| Blue Care Network | $163 - $763 | 90% |
| Blue Distinction Transplant | $163 - $763 | 90% |
| Blue Shield - Ca | $163 - $763 | 90% |
| Blue Shield - Id (Regence) | $163 - $763 | 90% |
| Blue Shield - Ny Highmark Northeastern | $163 - $763 | 90% |
| Blue Shield - Ny Highmark Western | $163 - $763 | 90% |
| Blue Shield - Pa (Highmark) | $163 - $763 | 90% |
| Blue Shield - Wa (Regence) | $163 - $763 | 90% |
| Health Choices | $163 - $763 | 90% |
| Kaiser Domestic | $163 - $763 | 90% |
| Pre-Employment | $163 - $763 | 90% |
| Wc Domestic | $163 - $763 | 90% |
| Molina Marketplace | $166 | 92% |
| First Health | $167 - $246 | 92% |
| Oscar | $179 | 99% |
| Coventry | $186 - $285 | 103% |
| Meritain | $186 - $285 | 103% |
| Upmc Health Plan | $187 - $197 | 103% |
| Centivo | $193 | 106% |
| Curative | $193 | 106% |
| Mvp | $197 | 109% |
| Multiplan | $207 - $369 | 114% |
| Phcs | $207 - $293 | 114% |
| Bridge Health | $210 | 116% |
| Allianz Global Assistance | $246 - $251 | 136% |
| Axa Assistance Us | $246 - $251 | 136% |
| Axis Services | $246 - $251 | 136% |
| Connecticare | $246 | 136% |
| Desjardins Financial Security Life Assurance | $246 - $251 | 136% |
| Emblem Health | $246 | 136% |
| Global Benefits Group | $246 - $251 | 136% |
| Global Health Claim Services | $246 - $251 | 136% |
| Morgan White Administrators | $246 - $251 | 136% |
| National Healthcare Solutions | $246 - $251 | 136% |
| Olympus Managed Health Care | $246 - $251 | 136% |
| Penfield Care | $246 - $251 | 136% |
| Sanus Healthcare | $246 - $251 | 136% |
| Selectcare Worldwide | $246 | 136% |
| Star Healthcare Network | $246 | 136% |
| Sunmed International | $246 - $260 | 136% |
| Ww Concierge Healthcare Service | $246 - $251 | 136% |
| Wc Broward County | $249 - $299 | 137% |
| Wc Corvel | $249 - $299 | 137% |
| Cmn Global | $251 | 138% |
| Global Medical Management | $251 | 138% |
| Guardian | $251 | 138% |
| Quality Health Management | $251 | 138% |
| Wc Heritage Summit | $254 - $305 | 140% |
| Andrie Inc | $262 | 144% |
| East Greenbush Central School District | $262 | 144% |
| Genex Wc | $262 | 144% |
| Healthsmart Workers Comp | $262 | 144% |
| Jag Source | $262 | 144% |
| New York State Insurance Fund | $262 | 144% |
| Njm Insurance Group | $262 | 144% |
| Rx Heatlhcomp | $262 | 144% |
| Rx Restat | $262 | 144% |
| Rx Saif Opdp Wc | $262 | 144% |
| Rx Worker'S Comp | $262 | 144% |
| Wc Accident Fund | $262 | 144% |
| Wc Ace | $262 | 144% |
| Wc Acs Federal Employees | $262 | 144% |
| Wc Acuity | $262 | 144% |
| Wc Advantage | $262 | 144% |
| Wc Aegis | $262 | 144% |
| Wc Aig | $262 | 144% |
| Wc Aims | $262 | 144% |
| Wc Alaska National Ins | $262 | 144% |
| Wc Align Network | $262 | 144% |
| Wc Allied | $262 | 144% |
| Wc Am Trust N America | $262 | 144% |
| Wc American Claims Mgmt | $262 | 144% |
| Wc Amerisure | $262 | 144% |
| Wc Amtrust | $262 | 144% |
| Wc Asu Risk Mgt | $262 | 144% |
| Wc Benetech | $262 | 144% |
| Wc Berkley Admin | $262 | 144% |
| Wc Broadspire | $262 | 144% |
| Wc Bunch & Associates | $262 | 144% |
| Wc California State Comp Ins | $262 | 144% |
| Wc California State Ins Fund | $262 | 144% |
| Wc Capitol Area Health Consortium | $262 | 144% |
| Wc Ccmsi | $262 | 144% |
| Wc Chartis | $262 | 144% |
| Wc Chubb | $262 | 144% |
| Wc Cirma | $262 | 144% |
| Wc City Of Albany | $262 | 144% |
| Wc City Of Sioux City | $262 | 144% |
| Wc Claims Mgmt Inc | $262 | 144% |
| Wc Cna | $262 | 144% |
| Wc Comp One Admin C/O Manageability | $262 | 144% |
| Wc Compone Admin | $262 | 144% |
| Wc Ct Healthcare Trust | $262 | 144% |
| Wc Donegal Insurance Group | $262 | 144% |
| Wc Emc Insurance Company | $262 | 144% |
| Wc Employee Mutual | $262 | 144% |
| Wc Enablecomp | $262 | 144% |
| Wc Encore Health Network | $262 | 144% |
| Wc Erie | $262 | 144% |
| Wc Esis | $262 | 144% |
| Wc Evolutions | $262 | 144% |
| Wc Fcci | $262 | 144% |
| Wc Fed Ex | $262 | 144% |
| Wc Federal Black Lung | $262 | 144% |
| Wc Federated | $262 | 144% |
| Wc Finley Occupational Health | $262 | 144% |
| Wc First Agency/Occunet | $262 | 144% |
| Wc Ford Motor | $262 | 144% |
| Wc Fresno Unified Emp | $262 | 144% |
| Wc Gallagher Bassett | $262 | 144% |
| Wc General Motors | $262 | 144% |
| Wc Generic | $262 | 144% |
| Wc Genex Care For Ohio | $262 | 144% |
| Wc Great West Casualty | $262 | 144% |
| Wc Guarantee Insurance | $262 | 144% |
| Wc Guard Insurance Company | $262 | 144% |
| Wc Hab | $262 | 144% |
| Wc Hartford | $262 | 144% |
| Wc Hastings | $262 | 144% |
| Wc Health Management | $262 | 144% |
| Wc Hireright | $262 | 144% |
| Wc Horizon | $262 | 144% |
| Wc Icw Group | $262 | 144% |
| Wc Idaho State Ins Fund | $262 | 144% |
| Wc Intercare Insurance | $262 | 144% |
| Wc Intermountain | $262 | 144% |
| Wc Johns Eastern | $262 | 144% |
| Wc Kemberton | $262 | 144% |
| Wc Key Ins & Benefit Solutions | $262 | 144% |
| Wc Liberty Mutual | $262 | 144% |
| Wc Mac Risk Management | $262 | 144% |
| Wc Massachusetts | $262 | 144% |
| Wc Mdia | $262 | 144% |
| Wc Meadowbrook Claim | $262 | 144% |
| Wc Medical Administrators | $262 | 144% |
| Wc Meijers | $262 | 144% |
| Wc Memic | $262 | 144% |
| Wc Mercy Workcare | $262 | 144% |
| Wc Michigan | $262 | 144% |
| Wc Michigan Millers Mutual | $262 | 144% |
| Wc Mitchell Frankenmuth | $262 | 144% |
| Wc Mra | $262 | 144% |
| Wc Nationwide | $262 | 144% |
| Wc Nca Comp | $262 | 144% |
| Wc New York | $262 | 144% |
| Wc New York Special Funds | $262 | 144% |
| Wc North American Rishces | $262 | 144% |
| Wc Northeast Health | $262 | 144% |
| Wc Notre Dame | $262 | 144% |
| Wc Novanet | $262 | 144% |
| Wc O'Hara Corp | $262 | 144% |
| Wc Occ Health Allen | $262 | 144% |
| Wc Ohio Bureau | $262 | 144% |
| Wc One Call Medical | $262 | 144% |
| Wc Paradigm | $262 | 144% |
| Wc Peerless | $262 | 144% |
| Wc Pma | $262 | 144% |
| Wc Price Chopper | $262 | 144% |
| Wc Procura Management | $262 | 144% |
| Wc Qualcare | $262 | 144% |
| Wc Quiktrip | $262 | 144% |
| Wc Reny Company | $262 | 144% |
| Wc Rev Claims | $262 | 144% |
| Wc Risico | $262 | 144% |
| Wc Rural Mutual | $262 | 144% |
| Wc Saif Oregon | $262 | 144% |
| Wc Secura | $262 | 144% |
| Wc Sedgwick | $262 | 144% |
| Wc Sentry | $262 | 144% |
| Wc Sheakley Unicomp | $262 | 144% |
| Wc Smile Lodge | $262 | 144% |
| Wc Society | $262 | 144% |
| Wc Srs | $262 | 144% |
| Wc Taconic (Mro) | $262 | 144% |
| Wc Taconic Farms | $262 | 144% |
| Wc Travelers | $262 | 144% |
| Wc Triad Group | $262 | 144% |
| Wc Tristar | $262 | 144% |
| Wc Troy Ny | $262 | 144% |
| Wc Tyson | $262 | 144% |
| Wc Unified Health Services | $262 | 144% |
| Wc United Heartland | $262 | 144% |
| Wc Us Dept Of Labor | $262 | 144% |
| Wc Velocity | $262 | 144% |
| Wc Walmart | $262 | 144% |
| Wc West Bend | $262 | 144% |
| Wc West Bend Mutual/Argent | $262 | 144% |
| Wc Winnebago Industries | $262 | 144% |
| Wc Yankee Trails | $262 | 144% |
| Wc York Risk | $262 | 144% |
| Wc Zenith | $262 | 144% |
| Wc Zurich | $262 | 144% |
| International Generic | $272 | 150% |
| Allied Benefit Systems | $285 | 157% |
| Unicare | $293 | 162% |
| Auto Liabililty Praxis | $298 | 164% |
| Wc Praxis Health Network | $298 | 164% |
| General Electric | $419 | 231% |
| Heartland Hospice | $419 | 231% |
| Hospice Vitas | $419 | 231% |
| Sunbelt International | $419 | 231% |