CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Trinity Health Muskegon Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $181
  • Cash Discount Price: $176
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Trinity Health Muskegon Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$176

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $176 (97%)
Insurance Median: $181 (100%)
Cash: $176 (97% of Medicare)
Ins. Median: $181 (100% 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
Aetna $99 - $288 55%
Albany County Correctional Facility $99 55%
Ambetter / Centene $99 55%
Amish Mennonite $99 55%
Ascension St. Vincent Public Safety Medical $99 55%
Bccp $99 55%
Blue Cross Blue Shield $99 - $184 55%
Bmc Healthnet $99 55%
Breast Grant-Connecticut $99 55%
Broward County Dept Of Health $99 55%
California Health And Wellness $99 55%
Can Community Health Inc $99 55%
Cardinal Innovations Lme $99 55%
Care Connections Of Northern Iowa $99 55%
Care Oregon Ohp $99 55%
Cencal Health Plan $99 55%
Cenpatico $99 55%
Chhuny $99 55%
Childrens Comm Health Plan $99 55%
Childrens Medical Services Title 19 $99 55%
Cigna $99 - $170 55%
City Of Philadelphia $99 55%
Cmh Allegan County $99 - $271 55%
Cmh Ausable Valley $99 55%
Cmh Barry County $99 - $271 55%
Cmh Bay-Arenac County $99 55%
Cmh Berrien County $99 - $271 55%
Cmh Cass County $99 - $271 55%
Cmh Central Mi County $99 55%
Cmh Clinton-Eaton-Ingham County $99 55%
Cmh Detroit Wayne Integrated Health Network $99 55%
Cmh Genesee County $99 55%
Cmh Ionia County $99 55%
Cmh Jackson County/Lifeways $99 55%
Cmh Kalamazoo $99 - $271 55%
Cmh Kent County $99 - $271 55%
Cmh Lenawee County $99 55%
Cmh Livingston County $99 55%
Cmh Macomb $99 55%
Cmh Misc $99 - $271 55%
Cmh Monroe County $99 55%
Cmh Montcalm County $99 55%
Cmh Muskegon County $99 - $271 55%
Cmh Newaygo County $99 55%
Cmh North Country $99 - $271 55%
Cmh Northern Lakes County $99 - $271 55%
Cmh Oakland County $99 55%
Cmh Ottawa County $99 - $271 55%
Cmh Van Buren County $99 - $271 55%
Cmh Washtenaw County $99 55%
Cmh Wayne County/Carelink $99 55%
Cmh Wayne Cty/Com Liv Svcs $99 55%
Cmh West Mi County $99 - $271 55%
Community Benefit Health $99 55%
Community Care Behavorial Health $99 55%
Community Care Partners $99 55%
Community Health Choice $99 55%
Connections Csp $99 55%
County Coroner $99 55%
County Funding Generic $99 55%
Covid19 Hrsa Uninsured Testing And Treatment Fund $99 55%
Dean Wi Badgercare $99 55%
Delaware County Department Of Health $99 55%
Delaware First Health $99 55%
Delta Dental Nj $99 55%
Dph Tb Program $99 55%
Dscc $99 55%
Eastpointe Lme $99 55%
Family Health Network $99 55%
Freedom First Healthcare $99 55%
Fresno County Ccs $99 55%
Ghc Scw Wi Badgercare $99 55%
Harbor Health $99 55%
Health Safety Net $99 55%
Healthy Blue Ne $99 55%
Hennepin Health $99 55%
Humana $99 - $214 55%
Id County Ada $99 55%
Id County Canyon $99 55%
Id County Cat Fund $99 55%
Id County Other $99 55%
Id County Payette $99 55%
Idaho Dept Health And Wellfare $99 55%
Idaho Womens Health Check $99 55%
Indiana Breast Cervical Cancer $99 55%
Inland Empire Health Plan $99 55%
Intercommunity Health Ohp $99 55%
Iowa Total Care $99 55%
Jai Medical System $99 55%
Kern Family Health Plan $99 55%
Keystone First $99 55%
Keystone First Chip $99 55%
La Care Health Plan $99 55%
Lakeland Care Inc $99 55%
Managed Health Services - Indiana $99 55%
Maryland Breast & Cervical Program $99 55%
Maryland Healthy Smiles - Scion Dental $99 55%
Maryland Physicians Care $99 55%
Massachusetts Behavioral Health Partnership $99 55%
Mdwise $99 55%
Medi-Cal $99 55%
Medi-Cal Healthnet $99 55%
Medicaid / KanCare $99 - $219 55%
Medstar Dc Healthy Family $99 55%
Medstar Md Health Choice $99 55%
Mo Home State Health Plan $99 55%
Molina Centennial Care $99 55%
Nascentia Health Options $99 55%
Nebraska Total Care $99 55%
New York Cancer Services Program $99 55%
Nextlevel Health $99 55%
Oregon Screenwise $99 55%
Pace Of Southwest Michigan $99 - $125 55%
Paramount Advantage $99 55%
Parkland Community Health Plan $99 55%
Partners Behavioral Lme $99 55%
Peach State Healthplan $99 55%
Philadelphia County Funding $99 55%
Presbyterian Centennial Care $99 55%
Prestige Health Choice $99 55%
Priority Partners $99 55%
Robert F Sing Program $99 55%
Rx 340B Pass Along $99 55%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $99 55%
Rx Medi-Cal $99 55%
Rx Meridian Rx $99 55%
Ryan White Florida Mssrp $99 55%
Sandhills Center Lme $99 55%
Screening For Life $99 55%
St Joseph County Hlth Dpt $99 55%
Stephenson Cty Health $99 55%
Sunshine State Health Plan $99 55%
Superior Health $99 55%
Tenncare $99 55%
Texas Children'S Health Plan $99 55%
Trillium Community Ohp $99 55%
Tufts Health Public Plans $99 55%
UnitedHealthcare $99 - $238 55%
Vaya Health Lme $99 55%
Washtenaw Health Plan $99 55%
Wellsense Health Plan $99 55%
Wi Womens Wellness $99 55%
Champva $121 67%
Tricare $121 67%
Triwest Health Alliance $121 67%
Us Family Health Plan $121 67%
Veterans Eval Services $121 67%
American Postal Workers Secondary $124 68%
Ally Align Care Adv $125 69%
American Health Advantage Of Idaho $125 69%
American Health Plan $125 69%
Aurora Special Needs $125 69%
Blue Care Network Advantage $125 69%
Blue Shield - De (Highmark) Medciare Advantage $125 69%
Care Dimensions $125 69%
Care Improvement Plus $125 69%
Care Resources Pace $125 69%
Careplus Health Plans $125 69%
Cca Senior Care Options $125 69%
Central Valley Medical Services Corp Pace $125 69%
Champion Health Plan Mcr Advantage $125 69%
Clear Spring Health $125 69%
Clover Health $125 69%
Commonwealth Care Alliance $125 69%
Community Pace At Home $125 69%
Eddy Senior Care-Pace $125 69%
Eddy Seniorcare Pace $125 69%
Elementcare $125 69%
Evercare $125 69%
Everence $125 69%
Gateway Health Plan $125 69%
Genesys Pace Of Genesee County $125 69%
Georgia Health Advantage $125 69%
Gold Advantage $125 69%
Gpa Croell Redi Mix $125 69%
Health America Advantra $125 69%
Highmark Health Options Dual Plan $125 69%
Hope Select Pace $125 69%
Horizon Nj Total Care $125 69%
Hudson Headwaters Pace $125 69%
Huron Valley Pace $125 69%
Innovative Integrated Health Community Plans $125 69%
Iowa Health Advantage $125 69%
Johns Hopkins Advantage Md $125 69%
Lasso Healthcare Msa $125 69%
Life St Marys Pace $125 69%
Lifecircles Pace $125 69%
Longevity Health Plan $125 69%
Martins Point Generations Advantage $125 69%
Mass General Brigham Mcr Adv $125 69%
Medicare (plans) $125 - $141 69%
Medipak Advantage $125 69%
Mercy Life $125 69%
Mercyone Cedar Valley $125 69%
Meridian Complete $125 69%
Michigan Complete Health $125 69%
Nascentia Health Plus $125 69%
New Centry Health Careplus $125 69%
Osu Prime Care Advantage $125 69%
Pace Cny $125 69%
Pace Iowa Immanuel Pathways $125 69%
Pace Southeast $125 69%
Pace-Trinity Health $125 69%
Peak Pace Solutions $125 69%
Perennial Advantage $125 69%
Preferred Care Partners $125 69%
Presbyterian Senior Plan $125 69%
Provider Partners Health Plan Of Illinois $125 69%
Provider Partners Health Plan Of Indiana $125 69%
Pruitthealth Premier $125 69%
Reliance Community Care Partners Care Resources Pace $125 69%
Rx Allwin $125 69%
Rx Grane Grnmedd $125 69%
Rx Retiree Rx Care $125 69%
Scan Health Plan Mcr Ipa Meritage Oon $125 69%
Secure Horizons Ma Pffs $125 69%
Serenity Pace $125 69%
Siouxland Pace $125 69%
Solis Health Plans $125 69%
Sunnyview-Pace Finance Dept $125 69%
Texan Plus $125 69%
The Health Plan $125 - $197 69%
Thome Pace $125 69%
Todays Options $125 69%
Tribute Health Plans $125 69%
Um Health Advantage $125 69%
Union Health Service $125 69%
Welbe Health $125 69%
Wellmed $125 69%
Align Senior Care $127 70%
Veterans Administration $127 70%
Bcn Domestic $132 73%
Blue Benefit Administrators Of Massachusetts $132 - $184 73%
Blue Care Network $132 - $181 73%
Blue Distinction Transplant $132 - $184 73%
Blue Shield - Ca $132 - $184 73%
Blue Shield - Id (Regence) $132 - $184 73%
Blue Shield - Ny Highmark Northeastern $132 - $184 73%
Blue Shield - Ny Highmark Western $132 - $184 73%
Blue Shield - Pa (Highmark) $132 - $184 73%
Blue Shield - Wa (Regence) $132 - $184 73%
Health Choices $132 - $214 73%
Kaiser Domestic $132 73%
Priority Health $132 - $288 73%
Asr Health Benefits $137 - $144 76%
Cca - Zing Health $137 76%
Acs Benefit Services $141 78%
Allied Benefit Systems $141 - $197 78%
Claimchoice Adminstrators $141 - $197 78%
Consociate $141 - $197 78%
Cypress Benefit Administrators $141 - $197 78%
Forest County Potawatomi $141 - $197 78%
Health Smart $141 - $197 78%
Healthgram $141 - $197 78%
Healthscope $141 - $197 78%
Preferred One $141 - $197 78%
Secureone Preferred United Plans $141 - $197 78%
Sisco Benefits $141 - $197 78%
Trustmark Small Business Benefits $141 - $197 78%
Unified Group Services $141 - $197 78%
Webtpa $141 - $197 78%
Access Health $142 78%
Longevity Ipa Of Michigan Llc Health Plan Isnp $143 79%
Hap $144 - $215 79%
Wc Accident Fund $145 - $205 80%
Wc Advantage $145 - $205 80%
Wc Aig $145 - $205 80%
Wc Allied $145 - $205 80%
Wc Amerisure $145 - $205 80%
Wc Amtrust $145 - $205 80%
Wc Asu Risk Mgt $145 - $205 80%
Wc Berkley Admin $145 - $205 80%
Wc Broadspire $145 - $205 80%
Wc Bunch & Associates $145 - $205 80%
Wc Ccmsi $145 - $205 80%
Wc Emc Insurance Company $145 - $205 80%
Wc Esis $145 - $205 80%
Wc Fcci $145 - $205 80%
Wc Federated $145 - $205 80%
Wc Gallagher Bassett $145 - $205 80%
Wc Genex Care For Ohio $145 - $205 80%
Wc Guard Insurance Company $145 - $205 80%
Wc Hartford $145 - $205 80%
Wc Liberty Mutual $145 - $205 80%
Wc Meijers $145 - $205 80%
Wc Michigan $145 - $205 80%
Wc Mitchell Frankenmuth $145 - $205 80%
Wc Pma $145 - $205 80%
Wc Sedgwick $145 - $205 80%
Wc Sentry $145 - $205 80%
Wc Travelers $145 - $205 80%
Wc Tristar $145 - $205 80%
Wc Walmart $145 - $205 80%
Wc Zurich $145 - $205 80%
Hospice Of Michigan $149 82%
Nomi Health $152 - $197 84%
Us Health And Life $154 - $214 85%
Health Partners $157 87%
Tufts Health Plan $157 87%
Varipro $157 - $195 87%
Geha $159 - $238 88%
Caresource $171 94%
1199 National Benefit Fund $172 - $203 95%
Allied National Global Care $172 - $203 95%
Asrm - Reliance Standard Life Insurance $172 - $203 95%
Christian Care Ministry $172 - $203 95%
Dean Health $172 - $203 95%
Fallon Health $172 - $203 95%
Family Life Insurance Company $172 - $203 95%
International Benefit Administrators $172 - $203 95%
Lifetime Benefit Solutions $172 - $203 95%
Manhattan Life $172 - $203 95%
Molina Marketplace $172 95%
Multiplan $172 - $203 95%
Mvp $172 - $203 95%
Oscar $172 95%
Pai $172 - $203 95%
Pan-American Life $172 - $203 95%
Phcs $172 - $203 95%
Trinity Health Share $172 - $203 95%
Wellpath $172 95%
Meritain $184 - $288 101%
Partners Direct Health - Brio $184 101%
Acclaim $197 - $214 109%
Administrative Concepts $197 - $214 109%
Allegeant $197 - $214 109%
Ameriben $197 - $214 109%
American Family $197 - $214 109%
American Healthcare Alliance $197 - $214 109%
American National $197 109%
American Republic $197 - $214 109%
Amerihealth $197 - $214 109%
Aultcare $197 - $214 109%
Automated Benefit Services $197 - $214 109%
Auxiant $197 - $214 109%
Benefit Administrative Systems,Llc $197 - $214 109%
Boon Chapman $197 - $214 109%
Cam Administrative Services $197 - $214 109%
Christian Brother Services $197 - $214 109%
Christian Brothers Holy Cross $197 - $214 109%
Claimdoc $197 109%
Comprehensive Benefits $197 - $214 109%
Continental Life Insurance $197 - $214 109%
Coventry $197 109%
Custom Benefit Administrators $197 - $214 109%
Employee Benefit Concepts $197 - $214 109%
Employee Benefit Management $197 - $214 109%
Enterprise Group Planning $197 - $214 109%
First Health $197 - $222 109%
Freedom Life Insurance Company $197 - $214 109%
Group Administrators $197 - $214 109%
Group Marketing Services $197 - $214 109%
Group Pension Administrators $197 - $203 109%
Guardian $197 - $214 109%
Health America $197 - $214 109%
Healthcare Management Admin $197 109%
Healthez $197 - $214 109%
Insight $197 - $214 109%
Intercare $197 - $214 109%
Jfp Benefit Management $197 - $214 109%
Jp Farley Corporation $197 - $214 109%
Kent County Jail $197 109%
Key Benefit Administrator $197 - $214 109%
Liberty Union Life Assurance Co $197 - $214 109%
Lucent Health $197 - $214 109%
Luminare Health $197 - $214 109%
Luminare Health (Detroit) $197 - $214 109%
Magnacare $197 109%
Medben $197 - $214 109%
Medcost $197 - $214 109%
Medical Mutual $197 - $214 109%
Muskegon County Jail $197 109%
Mutual Health Services $197 - $214 109%
Mutual Of Omaha $197 - $214 109%
Ncas $197 - $214 109%
Nippon Life Ins $197 - $214 109%
Nova $197 - $214 109%
Painters Union Insurance Fund $197 - $214 109%
Physicians Mutual $197 - $214 109%
Plumbers Local 98 Insurance Fund $197 - $214 109%
Prairie States $197 - $214 109%
Primary Physician Care $197 - $214 109%
Professional Benefit Administrators $197 - $214 109%
Siho Insurance Services $197 109%
The Loomis Company $197 - $214 109%
Unicare $197 - $214 109%
Valenz $197 - $214 109%
Western & Southern Financial Group $197 - $214 109%
Wps $197 - $214 109%
Ghc Scw $203 112%
Medi Share $203 112%
Paramount Hmo $203 112%
U Of M Health Plan $214 - $300 118%
Andrie Inc $215 119%
East Greenbush Central School District $215 119%
Genex Wc $215 119%
Healthsmart Workers Comp $215 119%
Jag Source $215 119%
New York State Insurance Fund $215 119%
Njm Insurance Group $215 119%
Rx Heatlhcomp $215 119%
Rx Restat $215 119%
Rx Saif Opdp Wc $215 119%
Rx Worker'S Comp $215 119%
Wc Ace $215 119%
Wc Acs Federal Employees $215 119%
Wc Acuity $215 119%
Wc Aegis $215 119%
Wc Aims $215 119%
Wc Alaska National Ins $215 119%
Wc Align Network $215 119%
Wc Am Trust N America $215 119%
Wc American Claims Mgmt $215 119%
Wc Benetech $215 119%
Wc Broward County $215 119%
Wc California State Comp Ins $215 119%
Wc California State Ins Fund $215 119%
Wc Capitol Area Health Consortium $215 119%
Wc Chartis $215 119%
Wc Chubb $215 119%
Wc Cirma $215 119%
Wc City Of Albany $215 119%
Wc City Of Sioux City $215 119%
Wc Claims Mgmt Inc $215 119%
Wc Cna $215 119%
Wc Comp One Admin C/O Manageability $215 119%
Wc Compone Admin $215 119%
Wc Corvel $215 119%
Wc Ct Healthcare Trust $215 119%
Wc Donegal Insurance Group $215 119%
Wc Employee Mutual $215 119%
Wc Enablecomp $215 119%
Wc Encore Health Network $215 119%
Wc Erie $215 119%
Wc Evolutions $215 119%
Wc Fed Ex $215 119%
Wc Federal Black Lung $215 119%
Wc Finley Occupational Health $215 119%
Wc First Agency/Occunet $215 119%
Wc Ford Motor $215 119%
Wc Fresno Unified Emp $215 119%
Wc General Motors $215 119%
Wc Generic $215 119%
Wc Great West Casualty $215 119%
Wc Guarantee Insurance $215 119%
Wc Hab $215 119%
Wc Hastings $215 119%
Wc Health Management $215 119%
Wc Heritage Summit $215 119%
Wc Hireright $215 119%
Wc Horizon $215 119%
Wc Icw Group $215 119%
Wc Idaho State Ins Fund $215 119%
Wc Intercare Insurance $215 119%
Wc Intermountain $215 119%
Wc Johns Eastern $215 119%
Wc Kemberton $215 119%
Wc Key Ins & Benefit Solutions $215 119%
Wc Mac Risk Management $215 119%
Wc Massachusetts $215 119%
Wc Mdia $215 119%
Wc Meadowbrook Claim $215 119%
Wc Medical Administrators $215 119%
Wc Memic $215 119%
Wc Mercy Workcare $215 119%
Wc Michigan Millers Mutual $215 119%
Wc Mra $215 119%
Wc Nationwide $215 119%
Wc Nca Comp $215 119%
Wc New York $215 119%
Wc New York Special Funds $215 119%
Wc North American Rishces $215 119%
Wc Northeast Health $215 119%
Wc Notre Dame $215 119%
Wc Novanet $215 119%
Wc O'Hara Corp $215 119%
Wc Occ Health Allen $215 119%
Wc Ohio Bureau $215 119%
Wc One Call Medical $215 119%
Wc Paradigm $215 119%
Wc Peerless $215 119%
Wc Praxis Health Network $215 119%
Wc Price Chopper $215 119%
Wc Procura Management $215 119%
Wc Qualcare $215 119%
Wc Quiktrip $215 119%
Wc Reny Company $215 119%
Wc Rev Claims $215 119%
Wc Risico $215 119%
Wc Rural Mutual $215 119%
Wc Saif Oregon $215 119%
Wc Secura $215 119%
Wc Sheakley Unicomp $215 119%
Wc Smile Lodge $215 119%
Wc Society $215 119%
Wc Srs $215 119%
Wc Taconic (Mro) $215 119%
Wc Taconic Farms $215 119%
Wc Triad Group $215 119%
Wc Troy Ny $215 119%
Wc Tyson $215 119%
Wc Unified Health Services $215 119%
Wc United Heartland $215 119%
Wc Us Dept Of Labor $215 119%
Wc Velocity $215 119%
Wc West Bend $215 119%
Wc West Bend Mutual/Argent $215 119%
Wc Winnebago Industries $215 119%
Wc Yankee Trails $215 119%
Wc York Risk $215 119%
Wc Zenith $215 119%
Barinet $271 149%
Bcccp-Michigan $340 187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Sherman Blvd, Muskegon, MI 49441
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals