CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: McKenzie Health System

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$188
about 1.0× the $181 Medicare rate · typically $137–$213
modeled estimate · not a bill or quote
What this hospital charges insurers
$200
About the fair price
about $12 over the fair price · 1.1× Medicare
Medicare pays $181 Fair price $188 This hospital $200 Cash price $219 Hospital's list price $274

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 $200

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 $188 (about 1.0× the $181 Medicare rate). McKenzie Health System charges insurers about $200, or about $219 in cash — about the fair price. Located in Sandusky, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $182 100%
Blue Cross Blue Shieldmajor $217 120%
Aetnamajor $200 110%
Priority Health $227 125%
+ 2 smaller / regional plans $149 - $165
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 120 N Delaware Street, Sandusky, MI 48471
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals