CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: CHI Health Good Samaritan

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$222
about 1.2× the $181 Medicare rate · typically $168–$364
modeled estimate · not a bill or quote
What this hospital charges insurers
$168
Below the fair price — a good deal
about $54 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $222 This hospital $168 Cash price $185 Hospital's list price $304

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NE hospitals compared.

Cheapest $139 Priciest $202

Black dot = this hospital, among the 9 NE 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). CHI Health Good Samaritan charges insurers about $168, or about $185 in cash — below the fair price — a good deal. Located in Kearney, NE.

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 $64 - $231 35%
Blue Cross Blue Shieldmajor $152 84%
Humanamajor $152 84%
Ambetter (Centene) $64 - $157 35%
Amerigroup $131 - $160 72%
Medica $152 - $347 84%
Molina $133 73%
+ 5 smaller / regional plans $149 - $338
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: P O Box 1990, 10 East 31St St, Kearney, NE 68848
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals