CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Mount Carmel St Ann's

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$170
about 0.9× the $181 Medicare rate · typically $152–$344
modeled estimate · not a bill or quote
What this hospital charges insurers
$209
Above the fair price
about $39 over the fair price · 1.2× Medicare
Medicare pays $181 Fair price $170 This hospital $209 Cash price $273 Hospital's list price $322

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $110 Priciest $209

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $170 (about 0.9× the $181 Medicare rate). Mount Carmel St Ann's charges insurers about $209, or about $273 in cash — above the fair price. Located in Westerville, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $170. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $154 - $364 85%
Blue Cross Blue Shieldmajor $279 - $364 154%
Aetnamajor $125 - $364 69%
Cignamajor $156 - $364 86%
Humanamajor $143 - $364 79%
Kaiser Permanentemajor $364 201%
Ambetter (Centene) $364 201%
AmeriHealth $130 - $364 72%
AvMed $364 201%
Bright Health $364 201%
CareSource $204 - $364 112%
Clover Health $364 201%
Dean Health Plan $364 201%
Fidelis Care $364 201%
Friday Health $364 201%
GEHA $125 - $364 69%
Geisinger $364 201%
Harvard Pilgrim $364 201%
Health Net $364 201%
HealthLink $209 - $364 115%
HealthPartners $156 - $364 86%
Independent Health $364 201%
MagnaCare $130 - $364 72%
Medica $364 201%
Medical Mutual $221 - $364 122%
Meridian $364 201%
Moda Health $364 201%
Molina $364 201%
MVP Health Care $156 - $364 86%
Oscar Health $364 201%
PacificSource $364 201%
Paramount $147 - $364 81%
Presbyterian $364 201%
Priority Health $156 - $364 86%
Providence Health Plan $364 201%
Sanford Health Plan $364 201%
Security Health Plan $364 201%
SelectHealth $364 201%
Sentara $279 - $364 154%
Tufts Health Plan $364 201%
UCare $364 201%
UniCare $130 - $364 72%
UPMC Health Plan $364 201%
WellCare $364 201%
WellMed $364 201%
WellSense $364 201%
+ 1049 smaller / regional plans $125 - $632
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 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

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals