CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Wakemed, Raleigh Campus

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$171
about 0.9× the $181 Medicare rate · typically $155–$176
modeled estimate · not a bill or quote
What this hospital charges insurers
$157
About the fair price
about $14 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $171 This hospital $157 Cash price $308 Hospital's list price $811

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 3 charge more and 4 charge less, among the 9 NC hospitals compared.

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 $171 (about 0.9× the $181 Medicare rate). Wakemed, Raleigh Campus charges insurers about $157, or about $308 in cash — about the fair price. Located in Raleigh, NC.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $119 - $404 66%
Aetnamajor $155 - $551 85%
Cignamajor $238 - $414 131%
Ambetter (Centene) $250 - $294 138%
AmeriHealth $145 80%
WellCare $145 - $155 80%
+ 4 smaller / regional plans $145 - $163
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3000 New Bern Ave, Raleigh, NC 27610
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals