CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: University Hospitals Ahuja Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $333
  • Cash Discount Price: $490
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at University Hospitals Ahuja Medical Center is $333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $490. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.84x the Medicare baseline. Located in 3999 Richmond Road, Beachwood, OH.
Cash / Self-Pay
$490

Average discount available for prompt cash payment at this facility.

Insurance Median
$333

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $490 (270%)
Insurance Median: $333 (184%)
Cash: $490 (270% of Medicare)
Ins. Median: $333 (184% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $149 - $444 82%
Blue Cross Blue Shield $149 - $438 82%
Cigna $149 - $464 82%
Devoted Health $149 82%
Humana $149 82%
Medical Mutual Of Ohio $149 - $340 82%
Molina $149 82%
Primetime Health Plan $149 82%
Summacare $149 - $333 82%
The Health Plan $149 - $431 82%
UnitedHealthcare $149 - $447 82%
Wellcare By Allwell $149 82%
Paramount $153 84%
Perennial Advantage Of Ohio $156 86%
Valor Health Plans $156 86%
University Health Employee Plan (Contigo) $261 144%
Ambetter / Centene $268 148%
Caresource $268 148%
Amish Aid Community Plan $300 165%
Amish Church Fund And Workers Aid Plan $300 165%
Buckeye Plain Ministries $300 165%
Clarity $313 173%
Jp Farley $313 173%
Christian Healthcare Ministries $326 180%
Immergrun $326 180%
Sunrise Plan Communities $326 180%
Aultcare $359 198%
Healthsmart $424 234%
Ohio Health Choice $424 - $588 234%
Medical Mutual Traditional/Health Ohio $457 252%
Beech Street $522 - $588 288%
Ohio Preferred Network $522 - $588 288%
First Health $542 299%
Century Health Network $555 306%
Private Healthcare System $562 310%
Configurenet $588 324%
Fortified Provider Network $588 324%
Multiplan $588 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3999 Richmond Road, Beachwood, OH 44122
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals