CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Ascension River District Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$161
about 0.9× the $181 Medicare rate · typically $111–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$165
About the fair price
about $4 over the fair price · 0.9× Medicare
Medicare pays $181 Fair price $161 This hospital $165

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 $165

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

A fair price for a Psychiatric evaluation (first visit) is about $161 (about 0.9× the $181 Medicare rate). Ascension River District Hospital charges insurers about $165 — about the fair price. Located in East China, MI.

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $157 87%
Humanamajor $159 88%
Ambetter (Centene) $197 109%
AmeriHealth $156 86%
Meridian $66 36%
Molina $165 - $197 91%
WellCare $165 91%
+ 8 smaller / regional plans $157 - $299
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 4100 River Rd, East China, MI 48054
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals