CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St Claire Regional Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$172
about 1.0× the $181 Medicare rate · typically $109–$216
modeled estimate · not a bill or quote
What this hospital charges insurers
$170
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $172 This hospital $170 Cash price $135 Hospital's list price $180

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 $170

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 $172 (about 1.0× the $181 Medicare rate). St Claire Regional Medical Center charges insurers about $170, or about $135 in cash — about the fair price. Located in Morehead, KY.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $109 - $241 60%
Aetnamajor $98 - $348 54%
Humanamajor $118 - $184 65%
CareSource $136 - $239 75%
HealthLink $116 - $144 64%
WellCare $39 - $355 22%
+ 2 smaller / regional plans $103 - $218
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 222 Medical Circle, Morehead, KY 40351
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals