Psychiatric evaluation (first visit)
Facility: Mercy Health Saint Mary's
Billing Code: 90791 (CPT)
Highest price of the 9 MI hospitals we have prices for — worth calling around.
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 $113 (about 0.6× the $181 Medicare rate). Mercy Health Saint Mary's charges insurers about $184, or about $176 in cash — above the fair price. Located in Grand Rapids, 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 $113. 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
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 | $125 - $271 | 69% |
| Blue Cross Blue Shieldmajor | $125 - $213 | 69% |
| Aetnamajor | $120 - $288 | 66% |
| Cignamajor | $125 - $206 | 69% |
| Humanamajor | $125 - $271 | 69% |
| Kaiser Permanentemajor | $131 | 72% |
| Ambetter (Centene) | $170 | 94% |
| AmeriHealth | $197 - $206 | 109% |
| CareSource | $177 | 98% |
| Clover Health | $125 - $166 | 69% |
| Dean Health Plan | $172 - $229 | 95% |
| GEHA | $159 - $206 | 88% |
| Health Net | $170 - $253 | 94% |
| HealthPartners | $157 - $170 | 87% |
| MagnaCare | $197 | 109% |
| Medical Mutual | $170 - $197 | 94% |
| Meridian | $125 - $170 | 69% |
| Molina | $170 - $229 | 94% |
| MVP Health Care | $172 - $229 | 95% |
| Oscar Health | $172 - $229 | 95% |
| Paramount | $170 - $198 | 94% |
| Presbyterian | $125 - $170 | 69% |
| Priority Health | $186 - $359 | 103% |
| Tufts Health Plan | $157 - $170 | 87% |
| UniCare | $197 - $206 | 109% |
| WellMed | $125 - $166 | 69% |
| WellSense | $170 | 94% |
| + 425 smaller / regional plans | $121 - $340 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercy Health Saint Mary's
Compare: Psychiatric evaluation (first visit) at other MI hospitals
- Huron Valley-Sinai Hospital · Commerce Township $109
- Henry Ford Health Brighton Center for Recovery · Brighton $109
- Harper University Hospital · Detroit $113
- Trinity Health Muskegon Hospital · Muskegon $125
- Charlevoix Area Hospital · Charlevoix $137
- Trinity Health Oakland Hospital · Pontiac $142
- University of Michigan Health System · Ann Arbor $142
- Henry Ford Macomb Hospital · Clinton Township $145
Insurance negotiated median for the same procedure, sorted lowest first.