CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Elkhart General Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$182
about 1.0× the $181 Medicare rate · typically $165–$258
modeled estimate · not a bill or quote
What this hospital charges insurers
$168
About the fair price
about $14 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $182 This hospital $168 Cash price $486 Hospital's list price $748

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 $168

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 $182 (about 1.0× the $181 Medicare rate). Elkhart General Hospital charges insurers about $168, or about $486 in cash — about the fair price. Located in Elkhart, IN.

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 $90 - $503 50%
Blue Cross Blue Shieldmajor $157 - $502 87%
Aetnamajor $168 - $506 93%
Cignamajor $539 - $568 297%
Humanamajor $168 - $524 93%
CareSource $269 - $972 148%
Devoted Health $150 - $177 83%
+ 9 smaller / regional plans $90 - $972
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 600 E Blvd, Elkhart, IN 46514
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals