Psychiatric evaluation (first visit)
Facility: M Health Fairview St John's Hospital
Billing Code: 90791 (CPT)
This hospital's typical commercial price is $163 compared to the $162 fair price benchmark.
5-Star CMS clinical quality rating paired with 1.01× fair market pricing.
Highest price of the 9 MN hospitals we have prices for — worth calling around.
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 $162 (about 0.9× the $181 Medicare rate). M Health Fairview St John's Hospital charges insurers about $163, or about $367 in cash — about the fair price. Located in Maplewood, MN.
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
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 | $139 - $396 | 77% |
| Blue Cross Blue Shieldmajor | $131 - $638 | 72% |
| HealthPartners | $125 - $443 | 69% |
| Medica | $122 - $671 | 67% |
| Sanford Health Plan | $139 - $540 | 77% |
| Security Health Plan | $139 - $687 | 77% |
| UCare | $112 - $386 | 62% |
| WellCare | $139 - $156 | 77% |
| + 5 smaller / regional plans | $125 - $824 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at M Health Fairview St John's Hospital
Compare: Psychiatric evaluation (first visit) at other MN hospitals
- Chippewa County Hospital · Montevideo $141
- Madison Hospital · Madison $149
- Bigfork Valley Hospital · Bigfork $154
- Range Regional Health Services · Hibbing $155
- Essentia Health Sandstone · Sandstone $157
- Essentia Health Ada · Ada $157
- Essentia Health Holy Trinity Hospital · Graceville $157
- Essentia Health Northern Pines Medical Center · Aurora $157
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at M Health Fairview St John's Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $332
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $332).
Self-Pay Cash Rate ($367) Beats Your Bill
M Health Fairview St John's Hospital's published 45 CFR § 180 self-pay cash rate is $367 (vs. $163 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $162 Fair BaseRate ($181 Medicare)
Your bill ($915) is $753 above the denoised Fair BaseRate ($162) and 5.1× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.