CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Essentia Health St Joseph's Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$165

about 0.9× the $181 Medicare rate · typically $161–$197

modeled estimate · not a bill or quote

What this hospital charges insurers

$173

About the fair price

about $8 over the fair price · 1.0× Medicare

Medicare pays $181 Fair price $165 This hospital $173 Cash price $234 Hospital's list price $347

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $141 Priciest $173

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

A fair price for a Psychiatric evaluation (first visit) is about $165 (about 0.9× the $181 Medicare rate). Essentia Health St Joseph's Medical Center charges insurers about $173, or about $234 in cash — about the fair price. Located in Brainerd, MN.

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✓ Cigna HumanaKaiser 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	$170 - $286	94%
Blue Cross Blue Shieldmajor	$101 - $589	56%
Aetnamajor	$190 - $320	105%
Cignamajor	$165 - $276	91%
HealthPartners	$96 - $276	53%
Medica	$71 - $274	39%
Sanford Health Plan	$96 - $170	53%
Security Health Plan	$173	95%
UCare	$147 - $247	81%
+ 12 smaller / regional plans	$101 - $552

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 234), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Essentia Health St Joseph's Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Essentia Health St Joseph's Medical Center

Compare: Psychiatric evaluation (first visit) at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.