CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Saint Joseph London

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$218
about 1.2× the $181 Medicare rate · typically $135–$273
modeled estimate · not a bill or quote
What this hospital charges insurers
$134
Below the fair price — a good deal
about $84 under the fair price · 0.7× Medicare
Medicare pays $181 Fair price $218 This hospital $134 Cash price $61 Hospital's list price $170

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 4 charge more and 4 charge less, among the 9 KY hospitals compared.

Cheapest $95 Priciest $148

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 $218 (about 1.2× the $181 Medicare rate). Saint Joseph London charges insurers about $134, or about $61 in cash — below the fair price — a good deal. Located in London, KY.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $36 - $148 20%
Blue Cross Blue Shieldmajor $37 - $146 20%
Aetnamajor $36 - $150 20%
Humanamajor $36 - $146 20%
CareSource $291 160%
Molina $24 - $153 13%
WellCare $29 - $146 16%
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: 1001 Saint Joseph Lane, London, KY 40741
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals