CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Saint Joseph Regional Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$186
about 1.0× the $181 Medicare rate · typically $112–$220
modeled estimate · not a bill or quote
What this hospital charges insurers
$166
Below the fair price — a good deal
about $20 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $186 This hospital $166 Cash price $364 Hospital's list price $364

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $80 Priciest $166

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

A fair price for a Psychiatric evaluation (first visit) is about $186 (about 1.0× the $181 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $166, or about $364 in cash — below the fair price — a good deal. Located in Mishawaka, IN.

What each insurance company pays

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

6 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 $162 - $239 89%
Blue Cross Blue Shieldmajor $162 - $202 89%
Aetnamajor $162 - $178 89%
Cignamajor $162 - $364 89%
Humanamajor $162 - $166 89%
Kaiser Permanentemajor $202 111%
Ambetter (Centene) $162 89%
CareSource $221 122%
Clover Health $166 92%
GEHA $239 132%
Health Net $162 - $364 89%
HealthPartners $162 89%
Meridian $162 - $166 89%
Molina $162 89%
Paramount $162 89%
Presbyterian $162 - $166 89%
Tufts Health Plan $162 89%
WellMed $166 92%
WellSense $162 89%
+ 348 smaller / regional plans $75 - $364
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals