CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Cox Medical Centers

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$182
about 1.0× the $181 Medicare rate · typically $140–$275
modeled estimate · not a bill or quote
What this hospital charges insurers
$180
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $181 Fair price $182 This hospital $180 Cash price $106 Hospital's list price $421

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $156 Priciest $180

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

A fair price for a Psychiatric evaluation (first visit) is about $182 (about 1.0× the $181 Medicare rate). Cox Medical Centers charges insurers about $180, or about $106 in cash — about the fair price. Located in Springfield, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $177 - $373 98%
Blue Cross Blue Shieldmajor $180 99%
Humanamajor $177 98%
Devoted Health $189 104%
Health Net $177 98%
+ 5 smaller / regional plans $177 - $421

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Facility Profile & Credentials

  • Address: 3801 South National Avenue, Springfield, MO 65807
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals