CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: University of Iowa Hospital & Clinics

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$242

about 1.3× the $181 Medicare rate · typically $171–$242

modeled estimate · not a bill or quote

What this hospital charges insurers

$174

Below the fair price — a good deal

about $68 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $242 This hospital $174 Cash price $199 Hospital's list price $284

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 $174

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 $242 (about 1.3× the $181 Medicare rate). University of Iowa Hospital & Clinics charges insurers about $174, or about $199 in cash — below the fair price — a good deal. Located in Iowa City, IA.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$26 - $943	14%
Blue Cross Blue Shieldmajor	$33 - $241	18%
Aetnamajor	$48 - $443	26%
Humanamajor	$156	86%
HealthPartners	$34 - $428	19%
Molina	$27 - $201	15%
Oscar Health	$43 - $317	24%
Sanford Health Plan	$58 - $428	32%
+ 10 smaller / regional plans	$27 - $539

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

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 199), 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 University of Iowa Hospital & Clinics 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 University of Iowa Hospital & Clinics

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

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