CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Saint Joseph East

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$282
about 1.6× the $181 Medicare rate · typically $171–$355
modeled estimate · not a bill or quote
What this hospital charges insurers
$202
Below the fair price — a good deal
about $80 under the fair price · 1.1× Medicare
Medicare pays $181 Fair price $282 This hospital $202 Cash price $301 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 $202

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 $282 (about 1.6× the $181 Medicare rate). Saint Joseph East charges insurers about $202, or about $301 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 - $570 90%
Blue Cross Blue Shieldmajor $158 - $205 87%
Aetnamajor $163 - $472 90%
Cignamajor $480 265%
Humanamajor $158 - $193 87%
CareSource $316 174%
Molina $166 - $183 92%
WellCare $158 - $191 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: 150 North Eagle Creek Drive, Lexington, KY 40509
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals