CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: University of Illinois Hospital and Clinics

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $217
  • Cash Discount Price: $298
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at University of Illinois Hospital and Clinics is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.20x the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.
Cash / Self-Pay
$298

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $298 (164%)
Insurance Median: $217 (120%)
Cash: $298 (164% of Medicare)
Ins. Median: $217 (120% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cigna $77 42%
Molina $138 - $248 76%
Coventry $157 - $172 87%
United $159 - $198 88%
Magellan Summit $168 93%
Aetna $172 - $269 95%
Health Alliance $172 - $232 95%
Longevity Health Plan $172 95%
Sinai Medical Group $172 95%
UnitedHealthcare $172 95%
Zing Health $175 97%
Clear Springs Health $177 98%
Evernorth $179 99%
Village Md $181 - $215 100%
Wellcare $181 100%
Uic Physician Group $189 104%
Blue Cross Blue Shield $192 - $258 106%
Union Health Service $206 114%
Dolton Medical Associates $215 119%
Mac Neal Health Providers $215 119%
Mercy Physician Association $215 119%
Unified Physicians Network $215 119%
West Suburban Health Providers $215 119%
Caterpillar $217 120%
Humboldt Park Health Partners $217 120%
Physicians Health Association Of Il $217 120%
Resurrection Phys Provider Group $217 120%
Lake County Physician Associates $224 124%
Northshore Physician Association $224 124%
Northwest Primary Care Alliance $224 124%
Southwest Physician Group Ltd $224 124%
Valenz $229 126%
Fox Valey Medicine Ltd $232 128%
Oak West Primary Care Alliance $232 128%
County Care Health Plan $248 137%
Meridian $248 137%
Youthcare Healthchoice $248 137%
Campus Care $258 142%
Healthsmart $258 142%
The Alliance $258 142%
Healthlink $270 - $2,385 149%
Multiplan $361 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1740 West Taylor St Suite 1400, Chicago, IL 60612
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals