CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Henry Ford Allegiance Health

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $161
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Henry Ford Allegiance Health is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.89x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $199 (110%)
Insurance Median: $161 (89%)
Cash: $199 (110% of Medicare)
Ins. Median: $161 (89% 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
Blue Cross Blue Shield $75 - $217 41%
Hap Caresource $75 - $162 41%
Mclaren $75 41%
Meridian Health Plan Of Mi $75 - $219 41%
Priority Health $75 - $270 41%
Aetna $78 - $228 43%
Molina $93 - $171 51%
Mclaren Health Plan Inc. $94 - $164 52%
Meridian $94 - $164 52%
Mclaren Health $98 - $176 54%
Priority $99 - $172 55%
Jackson County Offiice Of The Sheriff $101 - $183 56%
Humana $104 - $166 57%
Immergrun Inc $117 - $211 65%
Hap $118 - $218 65%
Veterans Evaluation Services $133 73%
University Of Michigan $136 - $246 75%
Bcn $139 - $204 77%
Cca Health Mi $139 - $161 77%
Health Alliance Plan Of Michigan $139 - $161 77%
Thomas Pace $139 - $162 77%
UnitedHealthcare $144 - $260 79%
Vaccn $144 - $174 79%
Molina Mi Health Link $145 80%
United Behavioral Health, Inc. $145 - $169 80%
Cca Health Michigan $162 89%
Cigna $174 - $313 96%
Cofinity Group Health $176 - $316 97%
Frontpath $176 - $316 97%
Multiplan, Inc. $176 - $316 97%
Vitalcore Physicians Group Of Mi $181 - $362 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals