CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 0.5× the $181 Medicare rate · typically $86–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$169
Above the fair price
about $70 over the fair price · 0.9× Medicare
Medicare pays $181 Fair price $99 This hospital $169 Cash price $223 Hospital's list price $343

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $109 Priciest $169

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

A fair price for a Psychiatric evaluation (first visit) is about $99 (about 0.5× the $181 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $169, or about $223 in cash — above the fair price. Located in Livonia, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $99. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $135 - $169 74%
Blue Cross Blue Shieldmajor $68 - $217 37%
Aetnamajor $111 - $288 61%
Cignamajor $135 - $274 74%
Humanamajor $135 - $218 74%
Kaiser Permanentemajor $105 58%
Ambetter (Centene) $142 - $164 78%
AmeriHealth $178 - $218 98%
CareSource $439 242%
Clover Health $135 - $169 74%
Dean Health Plan $186 - $233 103%
GEHA $199 110%
Health Net $142 - $343 78%
HealthPartners $142 - $210 78%
MagnaCare $178 - $218 98%
Medical Mutual $178 - $218 98%
Meridian $135 - $169 74%
Molina $142 - $233 78%
MVP Health Care $186 - $233 103%
Paramount $142 - $220 78%
Presbyterian $135 - $169 74%
Priority Health $170 - $307 94%
Tufts Health Plan $142 - $210 78%
UniCare $178 - $218 98%
WellMed $135 - $169 74%
WellSense $142 - $164 78%
+ 426 smaller / regional plans $97 - $439
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 18 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals