CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Trinity Muscatine

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$194

about 1.1× the $181 Medicare rate · typically $151–$194

modeled estimate · not a bill or quote

What this hospital charges insurers

$197

About the fair price

about $3 over the fair price · 1.1× Medicare

Medicare pays $181 Fair price $194 This hospital $197 Cash price $361 Hospital's list price $451

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $113 Priciest $197

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

A fair price for a Psychiatric evaluation (first visit) is about $194 (about 1.1× the $181 Medicare rate). Trinity Muscatine charges insurers about $197, or about $361 in cash — about the fair price. Located in Muscatine, IA.

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	$147 - $483	81%
Blue Cross Blue Shieldmajor	$104 - $208	57%
Aetnamajor	$140 - $416	77%
Cignamajor	$247 - $369	136%
Humanamajor	$147 - $156	81%
Ambetter (Centene)	$140 - $237	77%
Amerigroup	$139	77%
HealthPartners	$125 - $197	69%
Medica	$165 - $185	91%
Meridian	$147 - $156	81%
+ 3 smaller / regional plans	$139 - $645

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 361), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Trinity Muscatine is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Trinity Muscatine

Compare: Psychiatric evaluation (first visit) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.