CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Trinity Health Oakland Hospital

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–$142
modeled estimate · not a bill or quote
What this hospital charges insurers
$142
Above the fair price
about $43 over the fair price · 0.8× Medicare
Medicare pays $181 Fair price $99 This hospital $142 Cash price $203 Hospital's list price $307

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 2 charge more and 5 charge less, among the 9 MI hospitals compared.

Cheapest $109 Priciest $148

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). Trinity Health Oakland Hospital charges insurers about $142, or about $203 in cash — above the fair price. Located in Pontiac, 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 $120 - $235 66%
Blue Cross Blue Shieldmajor $72 - $186 40%
Aetnamajor $98 - $251 54%
Cignamajor $135 - $232 74%
Humanamajor $135 - $230 74%
Kaiser Permanentemajor $112 62%
Ambetter (Centene) $142 78%
AmeriHealth $153 - $230 84%
CareSource $372 205%
Clover Health $135 74%
Dean Health Plan $186 - $213 103%
GEHA $120 - $235 66%
Health Net $142 - $313 78%
HealthPartners $142 - $228 78%
MagnaCare $153 - $230 84%
Medical Mutual $153 - $196 84%
Meridian $135 - $142 74%
Molina $142 - $186 78%
MVP Health Care $186 - $213 103%
Paramount $142 - $213 78%
Presbyterian $135 - $142 74%
Priority Health $112 - $170 62%
Tufts Health Plan $142 - $228 78%
UniCare $153 - $230 84%
WellMed $135 74%
WellSense $142 78%
+ 426 smaller / regional plans $95 - $372
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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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals