CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Trinity Health Livingston Hospital
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $241
- Cash Discount Price: $203
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Trinity Health Livingston Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.33x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$203
Average discount available for prompt cash payment at this facility.
Insurance Median
$241
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: $203 (112%)
Insurance Median: $241 (133%)
Cash: $203 (112% of Medicare)
Ins. Median: $241 (133% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Wc Accident Fund | $68 | 37% |
| Wc Advantage | $68 | 37% |
| Wc Aig | $68 | 37% |
| Wc Allied | $68 | 37% |
| Wc Amerisure | $68 | 37% |
| Wc Amtrust | $68 | 37% |
| Wc Asu Risk Mgt | $68 | 37% |
| Wc Berkley Admin | $68 | 37% |
| Wc Broadspire | $68 | 37% |
| Wc Bunch & Associates | $68 | 37% |
| Wc Ccmsi | $68 | 37% |
| Wc Emc Insurance Company | $68 | 37% |
| Wc Esis | $68 | 37% |
| Wc Fcci | $68 | 37% |
| Wc Federated | $68 | 37% |
| Wc Gallagher Bassett | $68 | 37% |
| Wc Genex Care For Ohio | $68 | 37% |
| Wc Guard Insurance Company | $68 | 37% |
| Wc Hartford | $68 | 37% |
| Wc Liberty Mutual | $68 | 37% |
| Wc Meijers | $68 | 37% |
| Wc Michigan | $68 | 37% |
| Wc Mitchell Frankenmuth | $68 | 37% |
| Wc Pma | $68 | 37% |
| Wc Sedgwick | $68 | 37% |
| Wc Sentry | $68 | 37% |
| Wc Travelers | $68 | 37% |
| Wc Tristar | $68 | 37% |
| Wc Walmart | $68 | 37% |
| Wc Zurich | $68 | 37% |
| Blue Cross Blue Shield | $72 - $112 | 40% |
| Bcn Domestic | $112 | 62% |
| Blue Benefit Administrators Of Massachusetts | $112 | 62% |
| Blue Care Network | $112 | 62% |
| Blue Distinction Transplant | $112 | 62% |
| Blue Shield - Ca | $112 | 62% |
| Blue Shield - Id (Regence) | $112 | 62% |
| Blue Shield - Ny Highmark Northeastern | $112 | 62% |
| Blue Shield - Ny Highmark Western | $112 | 62% |
| Blue Shield - Pa (Highmark) | $112 | 62% |
| Blue Shield - Wa (Regence) | $112 | 62% |
| Health Choices | $112 - $255 | 62% |
| Kaiser Domestic | $112 | 62% |
| Aetna | $121 - $210 | 67% |
| Acs Benefit Services | $148 | 82% |
| Allied Benefit Systems | $148 | 82% |
| Claimchoice Adminstrators | $148 | 82% |
| Consociate | $148 | 82% |
| Cypress Benefit Administrators | $148 | 82% |
| Forest County Potawatomi | $148 | 82% |
| Health Smart | $148 | 82% |
| Healthgram | $148 | 82% |
| Healthscope | $148 | 82% |
| Secureone Preferred United Plans | $148 | 82% |
| Sisco Benefits | $148 | 82% |
| The Health Plan | $148 | 82% |
| Trustmark Small Business Benefits | $148 | 82% |
| Unified Group Services | $148 | 82% |
| Webtpa | $148 | 82% |
| Geha | $210 - $229 | 116% |
| Meritain | $210 | 116% |
| Hospice Advantage | $219 | 121% |
| UnitedHealthcare | $229 - $282 | 126% |
| Priority Health | $236 - $262 | 130% |
| 1199 National Benefit Fund | $241 | 133% |
| Allied National Global Care | $241 | 133% |
| Asrm - Reliance Standard Life Insurance | $241 | 133% |
| Christian Care Ministry | $241 | 133% |
| Dean Health | $241 | 133% |
| Fallon Health | $241 | 133% |
| Family Life Insurance Company | $241 | 133% |
| Ghc Scw | $241 | 133% |
| Group Pension Administrators | $241 | 133% |
| International Benefit Administrators | $241 | 133% |
| Lifetime Benefit Solutions | $241 | 133% |
| Manhattan Life | $241 | 133% |
| Medi Share | $241 | 133% |
| Multiplan | $241 | 133% |
| Mvp | $241 | 133% |
| Pai | $241 | 133% |
| Pan-American Life | $241 | 133% |
| Paramount Hmo | $241 | 133% |
| Phcs | $241 | 133% |
| Trinity Health Share | $241 | 133% |
| Hap | $242 - $405 | 133% |
| Health Partners | $242 | 133% |
| Tufts Health Plan | $242 | 133% |
| Cigna | $243 | 134% |
| Prime Health Services | $250 | 138% |
| Access Health | $255 | 141% |
| Acclaim | $255 | 141% |
| Administrative Concepts | $255 | 141% |
| Allegeant | $255 | 141% |
| Ameriben | $255 | 141% |
| American Family | $255 | 141% |
| American Healthcare Alliance | $255 | 141% |
| American National | $255 | 141% |
| American Republic | $255 | 141% |
| Amerihealth | $255 | 141% |
| Aultcare | $255 | 141% |
| Automated Benefit Services | $255 | 141% |
| Auxiant | $255 | 141% |
| Benefit Administrative Systems,Llc | $255 | 141% |
| Boon Chapman | $255 | 141% |
| Cam Administrative Services | $255 | 141% |
| Christian Brother Services | $255 | 141% |
| Christian Brothers Holy Cross | $255 | 141% |
| Comprehensive Benefits | $255 | 141% |
| Continental Life Insurance | $255 | 141% |
| Coventry | $255 | 141% |
| Custom Benefit Administrators | $255 | 141% |
| Employee Benefit Concepts | $255 | 141% |
| Employee Benefit Management | $255 | 141% |
| Enterprise Group Planning | $255 | 141% |
| Freedom Life Insurance Company | $255 | 141% |
| Group Administrators | $255 | 141% |
| Group Marketing Services | $255 | 141% |
| Guardian | $255 | 141% |
| Health America | $255 | 141% |
| Healthcare Management Admin | $255 | 141% |
| Healthez | $255 | 141% |
| Humana | $255 | 141% |
| Insight | $255 | 141% |
| Intercare | $255 | 141% |
| Jfp Benefit Management | $255 | 141% |
| Jp Farley Corporation | $255 | 141% |
| Key Benefit Administrator | $255 | 141% |
| Liberty Union Life Assurance Co | $255 | 141% |
| Lucent Health | $255 | 141% |
| Luminare Health | $255 | 141% |
| Luminare Health (Detroit) | $255 | 141% |
| Magnacare | $255 | 141% |
| Medben | $255 | 141% |
| Medcost | $255 | 141% |
| Medical Mutual | $255 | 141% |
| Mutual Health Services | $255 | 141% |
| Mutual Of Omaha | $255 | 141% |
| Ncas | $255 | 141% |
| Nippon Life Ins | $255 | 141% |
| Nova | $255 | 141% |
| Painters Union Insurance Fund | $255 | 141% |
| Physicians Mutual | $255 | 141% |
| Plumbers Local 98 Insurance Fund | $255 | 141% |
| Prairie States | $255 | 141% |
| Preferred One | $255 | 141% |
| Primary Physician Care | $255 | 141% |
| Professional Benefit Administrators | $255 | 141% |
| Siho Insurance Services | $255 | 141% |
| The Loomis Company | $255 | 141% |
| Unicare | $255 | 141% |
| Us Health And Life | $255 | 141% |
| Valenz | $255 | 141% |
| Western & Southern Financial Group | $255 | 141% |
| Wps | $255 | 141% |
| First Health | $261 | 144% |
| Correctional Healthcare Consultants | $277 | 153% |
| Three Rivers Provider Network | $282 | 156% |
| U Of M Health Plan | $294 | 162% |
| Cmh Washtenaw County | $313 | 173% |
| Asr Health Benefits | $405 | 223% |
| Caresource | $405 | 223% |
| Varipro | $405 | 223% |