CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Duke University Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$159
about 0.9× the $181 Medicare rate · typically $134–$257
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $181 Fair price $159 This hospital $161 Cash price $191 Hospital's list price $385

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $128 Priciest $170

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

A fair price for a Psychiatric evaluation (first visit) is about $159 (about 0.9× the $181 Medicare rate). Duke University Hospital charges insurers about $161, or about $191 in cash — about the fair price. Located in Durham, NC.

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 $88 - $522 49%
Blue Cross Blue Shieldmajor $96 - $349 53%
Aetnamajor $136 - $360 75%
Cignamajor $139 - $451 77%
Humanamajor $145 - $510 80%
AmeriHealth $96 53%
Sentara $207 - $253 114%
+ 8 smaller / regional plans $84 - $160

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Facility Profile & Credentials

  • Address: 2301 Erwin Rd, Durham, NC 27705
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals