CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Eaton Rapids Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$176
about 1.0× the $181 Medicare rate · typically $126–$176
modeled estimate · not a bill or quote
What this hospital charges insurers
$157
Below the fair price — a good deal
about $19 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $176 This hospital $157 Cash price $115 Hospital's list price $230

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 $157

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 $176 (about 1.0× the $181 Medicare rate). Eaton Rapids Medical Center charges insurers about $157, or about $115 in cash — below the fair price — a good deal. Located in Eaton Rapids, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $207 114%
Blue Cross Blue Shieldmajor $140 - $171 77%
Aetnamajor $196 108%
Cignamajor $207 114%
Humanamajor $157 - $159 87%
Health Net $187 103%
Priority Health $140 - $207 77%
+ 5 smaller / regional plans $157 - $207
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1500 S Main Street, Eaton Rapids, MI 48827
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals