CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Methodist Fremont Health

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$272

about 1.5× the $181 Medicare rate · typically $166–$353

modeled estimate · not a bill or quote

What this hospital charges insurers

$286

About the fair price

about $14 over the fair price · 1.6× Medicare

Medicare pays $181 Fair price $272 This hospital $286 Cash price $192 Hospital's list price $519

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $139 Priciest $286

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 $272 (about 1.5× the $181 Medicare rate). Methodist Fremont Health charges insurers about $286, or about $192 in cash — about the fair price. Located in Fremont, NE.

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✓ Humana CignaKaiser 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	$194 - $468	107%
Blue Cross Blue Shieldmajor	$194 - $464	107%
Aetnamajor	$194 - $549	107%
Humanamajor	$194	107%
Ambetter (Centene)	$345 - $402	190%
Medica	$194 - $457	107%
+ 4 smaller / regional plans	$192 - $431

Government programs also on file: Medicare.

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

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 192), 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 Methodist Fremont Health 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 Methodist Fremont Health

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

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