CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Macneal Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$199
about 1.1× the $181 Medicare rate · typically $162–$264
modeled estimate · not a bill or quote
What this hospital charges insurers
$187
About the fair price
about $12 under the fair price · 1.0× Medicare
Medicare pays $181 Fair price $199 This hospital $187 Hospital's list price $631

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $119 Priciest $187

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

A fair price for a Psychiatric evaluation (first visit) is about $199 (about 1.1× the $181 Medicare rate). Macneal Hospital charges insurers about $187 — about the fair price. Located in Berwyn, IL.

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 $299 - $324 165%
Blue Cross Blue Shieldmajor $29 - $874 16%
Aetnamajor $167 - $503 92%
Cignamajor $173 - $207 95%
Humanamajor $171 - $873 94%
Ambetter (Centene) $201 111%
Meridian $193 - $236 106%
Molina $176 - $236 97%
Oscar Health $184 101%
WellCare $176 97%
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 3249 South Oak Park Avenue, Berwyn, IL 60402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals