CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $145
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Wyandotte Hospital and Medical Center is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.80x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$145

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%)
Insurance Median: $145 (80%)
Ins. Median: $145 (80% 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
Cofinity Group Health $48 - $93 26%
Mclaren Health $56 - $157 31%
Aetna $57 - $173 31%
Hap $59 - $226 33%
Mclaren $78 43%
Meridian Health Plan Of Mi $78 - $131 43%
Priority Health $78 - $157 43%
UnitedHealthcare $81 - $175 45%
Cigna $88 - $179 49%
Multiplan, Inc. $88 49%
Humana $92 - $193 51%
Molina $93 - $186 51%
Amerihealth Michigan $94 - $166 52%
Hap Caresource $94 - $157 52%
Mclaren Health Plan Inc. $94 - $169 52%
Meridian $94 - $169 52%
Priority $99 - $172 55%
University Of Michigan $105 58%
Beacon Health $117 - $164 65%
Pace Se Mi $138 - $161 76%
Bcn $145 - $204 80%
Blue Cross Blue Shield $145 - $217 80%
Cca Health Mi $145 - $169 80%
Health Alliance Plan Of Michigan $145 - $169 80%
Mount Carmel Health Plan $145 - $169 80%
United Behavioral Health, Inc. $145 - $169 80%
Wellcare Ma $145 80%
Pace Of Se Mi $150 83%
Cofinity $154 85%
Cca Health Michigan $157 87%
Erickson $157 87%
Molina Mi Health Link $157 87%
Wellcare $159 88%
Vaccn $163 - $191 90%
Vitalcore Physicians Group Of Mi $189 - $362 104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals