CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Sanford Medical Center Fargo

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$171
about 0.9× the $181 Medicare rate · typically $160–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$165
About the fair price
about $6 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $171 This hospital $165 Cash price $426 Hospital's list price $533

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 2 charge more and 2 charge less, among the 6 ND hospitals compared.

Cheapest $141 Priciest $236

Black dot = this hospital, among the 6 ND 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). Sanford Medical Center Fargo charges insurers about $165, or about $426 in cash — about the fair price. Located in Fargo, ND.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $165 - $464 91%
Blue Cross Blue Shieldmajor $116 - $282 64%
Aetnamajor $165 - $456 91%
Cignamajor $480 265%
Health Net $480 265%
HealthPartners $165 - $219 91%
Medica $240 - $256 132%
Sanford Health Plan $147 - $153 81%
Security Health Plan $293 162%
UCare $164 - $375 90%
+ 2 smaller / regional plans $167 - $480
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 801 Broadway North, Fargo, ND 58122
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals