CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $177
  • Cash Discount Price: $256
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Munson Healthcare Grayling Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$256

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $256 (141%)
Insurance Median: $177 (98%)
Cash: $256 (141% of Medicare)
Ins. Median: $177 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Mclaren Health Plan $91 - $177 50%
Blue Cross Blue Shield $92 - $186 51%
Meridian $92 - $94 51%
Molina $92 - $191 51%
Priority Health $92 - $253 51%
UnitedHealthcare $92 - $181 51%
Aetna $137 - $228 76%
Atrium King Centre Skilled Nursing Services $137 - $177 76%
Blue Care Network $137 - $177 76%
Hap (Health Alliance Plan) $137 - $241 76%
Humana $137 - $177 76%
Medicare (plans) $137 - $177 76%
Northern Michigan Mennonite Group $137 - $177 76%
Promedica $137 - $177 76%
Wellcare (Meridian) $137 - $177 76%
Wellspring Lutheran Services Skilling Nursing Services $137 - $177 76%
Michigan Amish Medical Board $157 - $177 87%
Hospice Of Michigan $181 100%
Cofinity $189 - $235 104%
Provider Network Of America Group Health $191 - $256 105%
Cigna $195 - $253 108%
Asr/Physicians Care $205 - $241 113%
Munson Hospice $211 - $852 116%
Nomi Health $219 - $241 121%
Employee Benefits Logistics $232 - $301 128%
Medical Cost Savings Solution $241 133%
The Robbins Group And Regency Employee Benefits $241 133%
Wds Enterprise Group Planning $241 133%
First Health/Coventry Network $256 141%
Three Rivers Provider Network $256 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals