CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Saint Joseph Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$288
about 1.6× the $181 Medicare rate · typically $181–$386
modeled estimate · not a bill or quote
What this hospital charges insurers
$211
Below the fair price — a good deal
about $77 under the fair price · 1.2× Medicare
Medicare pays $181 Fair price $288 This hospital $211 Cash price $353 Hospital's list price $750

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $95 Priciest $211

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

A fair price for a Psychiatric evaluation (first visit) is about $288 (about 1.6× the $181 Medicare rate). Saint Joseph Hospital charges insurers about $211, or about $353 in cash — below the fair price — a good deal. Located in Lexington, KY.

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 $164 - $548 90%
Blue Cross Blue Shieldmajor $158 - $213 87%
Aetnamajor $163 - $472 90%
Cignamajor $472 260%
Humanamajor $158 - $198 87%
CareSource $316 174%
Molina $166 - $176 92%
WellCare $158 - $209 87%
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: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals