CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St Francis Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$256

about 1.4× the $181 Medicare rate · typically $205–$352

modeled estimate · not a bill or quote

What this hospital charges insurers

$205

Below the fair price — a good deal

about $51 under the fair price · 1.1× Medicare

Medicare pays $181 Fair price $256 This hospital $205 Cash price $203 Hospital's list price $350

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 $205

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 $256 (about 1.4× the $181 Medicare rate). St Francis Medical Center charges insurers about $205, or about $203 in cash — below the fair price — a good deal. Located in Breckenridge, MN.

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	$89 - $674	49%
Blue Cross Blue Shieldmajor	$28 - $983	15%
Aetnamajor	$89 - $358	49%
Cignamajor	$462	255%
Humanamajor	$51 - $205	28%
HealthPartners	$51 - $464	28%
Medica	$51 - $485	28%
Sanford Health Plan	$107 - $429	59%
UCare	$40 - $429	22%
+ 3 smaller / regional plans	$174 - $602

Government programs also on file: Medicare, Medicaid.

Excludes 3 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 203), 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 St Francis 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 St Francis Medical Center

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

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