CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Borgess Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$159
about 0.9× the $181 Medicare rate · typically $159–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$159
About the fair price
0.9× Medicare
Medicare pays $181 Fair price $159 This hospital $159 Cash price $514 Hospital's list price $790

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $109 Priciest $159

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychiatric evaluation (first visit) is about $159 (about 0.9× the $181 Medicare rate). Borgess Medical Center charges insurers about $159, or about $514 in cash — about the fair price. Located in Kalamazoo, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

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 $90 - $614 50%
Blue Cross Blue Shieldmajor $159 - $494 88%
Aetnamajor $90 - $614 50%
Humanamajor $159 88%
Devoted Health $158 - $167 87%
Meridian $159 - $790 88%
Molina $90 - $237 50%
Priority Health $90 - $719 50%
+ 3 smaller / regional plans $90 - $695

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1521 Gull Road, Kalamazoo, MI 49048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals