Psychiatric evaluation (first visit)
Facility: Trinity Health Muskegon Hospital
Billing Code: 90791 (CPT)
This hospital's typical commercial price is $125 compared to the $142 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.88× fair market pricing.
A typical price — 5 charge more and 3 charge less, among the 9 MI hospitals compared.
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 $142 (about 0.8× the $181 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $125, or about $176 in cash — below the fair price — a good deal. Located in Muskegon, MI.
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 | $99 - $238 | 55% |
| Blue Cross Blue Shieldmajor | $99 - $184 | 55% |
| Aetnamajor | $99 - $288 | 55% |
| Cignamajor | $99 - $170 | 55% |
| Humanamajor | $99 - $214 | 55% |
| Kaiser Permanentemajor | $132 | 73% |
| Ambetter (Centene) | $99 | 55% |
| AmeriHealth | $197 - $214 | 109% |
| CareSource | $171 | 94% |
| Clover Health | $125 | 69% |
| Dean Health Plan | $172 - $203 | 95% |
| GEHA | $159 - $238 | 88% |
| Health Net | $99 - $215 | 55% |
| HealthPartners | $99 - $157 | 55% |
| MagnaCare | $197 | 109% |
| Medical Mutual | $197 - $214 | 109% |
| Meridian | $99 - $125 | 55% |
| Molina | $99 - $172 | 55% |
| MVP Health Care | $172 - $203 | 95% |
| Oscar Health | $172 | 95% |
| Paramount | $99 - $203 | 55% |
| Presbyterian | $99 - $125 | 55% |
| Priority Health | $132 - $288 | 73% |
| Tufts Health Plan | $99 - $157 | 55% |
| UniCare | $197 - $214 | 109% |
| WellMed | $125 | 69% |
| WellSense | $99 | 55% |
| + 427 smaller / regional plans | $99 - $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 Trinity Health Muskegon Hospital
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
- Charlevoix Area Hospital · Charlevoix $137
- Trinity Health Oakland Hospital · Pontiac $142
- University of Michigan Health System · Ann Arbor $142
- Oaklawn Hospital · Marshall $144
- Munson Healthcare Otsego Memorial Hospital · Gaylord $148
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Trinity Health Muskegon Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $111
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $111).
Self-Pay Cash Rate ($176) Beats Your Bill
Trinity Health Muskegon Hospital's published 45 CFR § 180 self-pay cash rate is $176 (vs. $125 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $142 Fair BaseRate ($181 Medicare)
Your bill ($306) is $164 above the denoised Fair BaseRate ($142) and 1.7× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.