CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Iu Health West 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 $144–$287

modeled estimate · not a bill or quote

What this hospital charges insurers

$188

About the fair price

about $11 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $199 This hospital $188 Cash price $177 Hospital's list price $623

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 $188

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 $199 (about 1.1× the $181 Medicare rate). Iu Health West Hospital charges insurers about $188, or about $177 in cash — about the fair price. Located in Avon, 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	$159 - $512	88%
Blue Cross Blue Shieldmajor	$100 - $520	55%
Aetnamajor	$188 - $644	104%
Cignamajor	$265 - $578	146%
Humanamajor	$188 - $192	104%
Ambetter (Centene)	$311	172%
CareSource	$159 - $283	88%
Health Net	$345 - $648	190%
WellCare	$192	106%
+ 13 smaller / regional plans	$159 - $670

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 177), 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 Iu Health West Hospital 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 Iu Health West Hospital

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

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