CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Wooster Community Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$179

about 1.0× the $181 Medicare rate · typically $149–$184

modeled estimate · not a bill or quote

What this hospital charges insurers

$172

About the fair price

about $7 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $179 This hospital $172 Cash price $309 Hospital's list price $309

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 $172

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 $179 (about 1.0× the $181 Medicare rate). Wooster Community Hospital charges insurers about $172, or about $309 in cash — about the fair price. Located in Wooster, OH.

What each insurance company pays

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

5 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	$151 - $294	83%
Blue Cross Blue Shieldmajor	$156 - $284	86%
Aetnamajor	$159 - $309	88%
Cignamajor	$247	136%
Humanamajor	$172 - $291	95%
AmeriHealth	$159	88%
CareSource	$151 - $245	83%
Molina	$155 - $292	85%
+ 31 smaller / regional plans	$151 - $335

Government programs also on file: Military & VA.

Excludes 8 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 309), 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 Wooster Community Hospital 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 Wooster Community Hospital

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

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