CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St Lukes Hospital of Kansas City

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$222

about 1.2× the $181 Medicare rate · typically $138–$375

modeled estimate · not a bill or quote

What this hospital charges insurers

$169

Below the fair price — a good deal

about $53 under the fair price · 0.9× Medicare

Medicare pays $181 Fair price $222 This hospital $169 Cash price $340 Hospital's list price $567

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

On the higher side — 7 of 8 other MO hospitals charge less.

Cheapest $156 Priciest $178

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 $222 (about 1.2× the $181 Medicare rate). St Lukes Hospital of Kansas City charges insurers about $169, or about $340 in cash — below the fair price — a good deal. Located in Kansas City, MO.

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	$125 - $255	69%
Blue Cross Blue Shieldmajor	$169 - $459	93%
Aetnamajor	$309 - $539	170%
Cignamajor	$183 - $397	101%
Humanamajor	$181 - $371	100%
+ 2 smaller / regional plans	$187 - $567

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 340), 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 Lukes Hospital of Kansas City 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 Lukes Hospital of Kansas City

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

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