CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Essentia Health Fosston

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$155

about 0.9× the $181 Medicare rate · typically $147–$177

modeled estimate · not a bill or quote

What this hospital charges insurers

$157

About the fair price

about $2 over the fair price · 0.9× Medicare

Medicare pays $181 Fair price $155 This hospital $157 Cash price $256 Hospital's list price $347

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 0 charge more and 3 charge less, among the 9 MN hospitals compared.

Cheapest $141 Priciest $157

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 $155 (about 0.9× the $181 Medicare rate). Essentia Health Fosston charges insurers about $157, or about $256 in cash — about the fair price. Located in Fosston, 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	$174 - $314	96%
Blue Cross Blue Shieldmajor	$174 - $302	96%
Aetnamajor	$295	163%
Cignamajor	$231	127%
HealthPartners	$135 - $231	74%
Medica	$138 - $313	76%
Sanford Health Plan	$149 - $157	82%
Security Health Plan	$174	96%
UCare	$174 - $228	96%
+ 12 smaller / regional plans	$154 - $302

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 256), 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 Fosston 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 Fosston

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

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