CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Larkin Community Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$170
about 0.9× the $181 Medicare rate · typically $139–$265
modeled estimate · not a bill or quote
What this hospital charges insurers
$289
Above the fair price
about $119 over the fair price · 1.6× Medicare
Medicare pays $181 Fair price $170 This hospital $289 Cash price $294 Hospital's list price $420

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 $289

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 $170 (about 0.9× the $181 Medicare rate). Larkin Community Hospital charges insurers about $289, or about $294 in cash — above the fair price. Located in South Miami, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $170. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $157 - $711 87%
Blue Cross Blue Shieldmajor $153 84%
Aetnamajor $148 - $597 82%
Cignamajor $69 - $149 38%
Humanamajor $50 - $597 28%
Ambetter (Centene) $157 87%
AvMed $162 - $597 89%
Bright Health $162 - $716 89%
Molina $157 87%
Oscar Health $550 - $1,194 303%
+ 23 smaller / regional plans $70 - $597
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals