CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Mount Carmel East & West

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$199
about 1.1× the $181 Medicare rate · typically $154–$362
modeled estimate · not a bill or quote
What this hospital charges insurers
$204
About the fair price
about $5 over the fair price · 1.1× Medicare
Medicare pays $181 Fair price $199 This hospital $204 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 $204

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 $199 (about 1.1× the $181 Medicare rate). Mount Carmel East & West charges insurers about $204, or about $273 in cash — about the fair price. Located in Columbus, OH.

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 $118 - $364 65%
Blue Cross Blue Shieldmajor $166 - $364 92%
Aetnamajor $125 - $364 69%
Cignamajor $156 - $364 86%
Humanamajor $143 - $364 79%
Kaiser Permanentemajor $364 201%
Ambetter (Centene) $364 201%
AmeriHealth $130 - $364 72%
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 - $252 69%
Harvard Pilgrim $364 201%
Health Net $364 201%
HealthLink $209 - $364 115%
HealthPartners $156 - $364 86%
Independent Health $364 201%
MagnaCare $130 72%
Medical Mutual $212 117%
Meridian $364 201%
Moda Health $364 201%
Molina $364 201%
MVP Health Care $156 - $364 86%
Oscar Health $212 117%
Paramount $364 201%
Presbyterian $364 201%
Priority Health $156 - $364 86%
Providence Health Plan $364 201%
Security Health Plan $364 201%
SelectHealth $364 201%
Sentara $279 - $364 154%
Tufts Health Plan $364 201%
UniCare $130 72%
WellCare $364 201%
WellMed $364 201%
WellSense $364 201%
+ 931 smaller / regional plans $118 - $632
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 39 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6001 East Broad Street, Columbus, OH 43213
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals