CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Lima Memorial Health System
Billing Code: 90791 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$242
about 1.3× the $181 Medicare rate · typically $163–$284
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $242 Cash price $167 Hospital's list price $186
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 | $701 - $779 | 387% |
| Aetnamajor | $169 - $203 | 93% |
| CareSource | $297 | 164% |
| Devoted Health | $171 | 94% |
| + 1 smaller / regional plan | $288 |
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Other Procedures at Lima Memorial Health System
Compare: Psychiatric evaluation (first visit) at other OH hospitals
- Highland District Hospital · Hillsboro $110
- Genesis Hospital · Zanesville $137
- Christ Hospital · Cincinnati $138
- Southern Ohio Medical Center · Portsmouth $142
- Akron General Medical Center · Akron $148
- Trinity Medical Ctr East &Trinity Medical Ctr West · Steubenville $148
- Union Hospital · Dover $149
- Parma Community General Hospital · Parma $149
Insurance negotiated median for the same procedure, sorted lowest first.