CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Henry Ford Macomb Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$132
about 0.7× the $181 Medicare rate · typically $69–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$145
About the fair price
about $13 over the fair price · 0.8× Medicare
Medicare pays $181 Fair price $132 This hospital $145 Hospital's list price $176

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

On the higher side — 7 of 8 other MI hospitals charge less.

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 $132 (about 0.7× the $181 Medicare rate). Henry Ford Macomb Hospital charges insurers about $145 — about the fair price. Located in Clinton Township, MI.

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 $66 - $175 36%
Blue Cross Blue Shieldmajor $78 - $217 43%
Aetnamajor $58 - $173 32%
Cignamajor $105 - $179 58%
Humanamajor $92 - $193 51%
AmeriHealth $94 - $166 52%
CareSource $94 - $157 52%
Meridian $78 - $169 43%
Molina $93 - $186 51%
Priority Health $78 - $157 43%
WellCare $145 - $147 80%
+ 14 smaller / regional plans $68 - $362
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals