CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Vista Medical Center East

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$230

about 1.3× the $181 Medicare rate · typically $158–$380

modeled estimate · not a bill or quote

What this hospital charges insurers

$177

Below the fair price — a good deal

about $53 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $230 This hospital $177 Cash price $664 Hospital's list price $664

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 $177

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychiatric evaluation (first visit) is about $230 (about 1.3× the $181 Medicare rate). Vista Medical Center East charges insurers about $177, or about $664 in cash — below the fair price — a good deal. Located in Waukegan, IL.

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✓ Cigna HumanaKaiser 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	$126	69%
Blue Cross Blue Shieldmajor	$71	39%
Aetnamajor	$228	126%
Cignamajor	$94	52%

Government programs also on file: Medicare, Medicaid.

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 664), 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 Vista Medical Center East 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 Vista Medical Center East

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

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