CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Winnmed

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$147
about 0.8× the $181 Medicare rate · typically $121–$299
modeled estimate · not a bill or quote
What this hospital charges insurers
$149
About the fair price
about $2 over the fair price · 0.8× Medicare
Medicare pays $181 Fair price $147 This hospital $149 Cash price $165 Hospital's list price $235

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

On the higher side — 7 of 8 other IA hospitals charge less.

Cheapest $113 Priciest $150

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 $147 (about 0.8× the $181 Medicare rate). Winnmed charges insurers about $149, or about $165 in cash — about the fair price. Located in Decorah, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $44 - $136 24%
Blue Cross Blue Shieldmajor $151 - $722 83%
Aetnamajor $68 - $144 37%
HealthPartners $70 - $146 39%
Medica $70 - $147 39%
+ 1 smaller / regional plan $72 - $374

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 901 Montgomery Street, Decorah, IA 52101
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals