CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Madison Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$131
about 0.7× the $181 Medicare rate · typically $123–$252
modeled estimate · not a bill or quote
What this hospital charges insurers
$149
About the fair price
about $18 over the fair price · 0.8× Medicare
Medicare pays $181 Fair price $131 This hospital $149 Cash price $327 Hospital's list price $385

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

One of the lower prices — 7 of 8 other MN hospitals charge more for the same procedure.

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 $131 (about 0.7× the $181 Medicare rate). Madison Hospital charges insurers about $149, or about $327 in cash — about the fair price. Located in Madison, 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✓ Humana CignaKaiser 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 $114 - $2,713 63%
Blue Cross Blue Shieldmajor $114 - $2,713 63%
Aetnamajor $176 - $354 97%
Humanamajor $149 - $366 82%
HealthPartners $110 - $364 61%
Medica $147 - $327 81%
Sanford Health Plan $354 195%
+ 1 smaller / regional plan $122 - $250
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: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals