CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Mount Carmel Dublin
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $130
- Cash Discount Price: $181
- vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Mount Carmel Dublin is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $181. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.72x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$181
Average discount available for prompt cash payment at this facility.
Insurance Median
$130
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: $181 (100%)
Insurance Median: $130 (72%)
Cash: $181 (100% of Medicare)
Ins. Median: $130 (72% 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.
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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 | $125 - $159 | 69% |
| Geha | $125 | 69% |
| Gravie Admin Services | $125 | 69% |
| Healthez | $125 | 69% |
| Meritain | $125 | 69% |
| Webtpa | $125 | 69% |
| Access Health | $130 | 72% |
| Acclaim | $130 | 72% |
| Administrative Concepts | $130 | 72% |
| Allegeant | $130 | 72% |
| Allied Benefit Systems | $130 | 72% |
| American Family | $130 | 72% |
| American Healthcare Alliance | $130 | 72% |
| American National | $130 | 72% |
| American Republic | $130 | 72% |
| Amerihealth | $130 | 72% |
| Aultcare | $130 | 72% |
| Automated Benefit Services | $130 | 72% |
| Auxiant | $130 | 72% |
| Benefit Administrative Systems,Llc | $130 | 72% |
| Boon Chapman | $130 | 72% |
| Cam Administrative Services | $130 | 72% |
| Christian Brother Services | $130 | 72% |
| Christian Brothers Holy Cross | $130 | 72% |
| Claimchoice Adminstrators | $130 | 72% |
| Comprehensive Benefits | $130 | 72% |
| Continental Life Insurance | $130 | 72% |
| Coventry | $130 | 72% |
| Custom Benefit Administrators | $130 | 72% |
| Cypress Benefit Administrators | $130 | 72% |
| Employee Benefit Concepts | $130 | 72% |
| Employee Benefit Management | $130 | 72% |
| Forest County Potawatomi | $130 | 72% |
| Freedom Life Insurance Company | $130 | 72% |
| Group Administrators | $130 | 72% |
| Group Marketing Services | $130 | 72% |
| Group Pension Administrators | $130 | 72% |
| Guardian | $130 | 72% |
| Health America | $130 | 72% |
| Health Choices | $130 | 72% |
| Healthcare Management Admin | $130 | 72% |
| Insight | $130 | 72% |
| Intercare | $130 | 72% |
| Jfp Benefit Management | $130 | 72% |
| Jp Farley Corporation | $130 | 72% |
| Key Benefit Administrator | $130 | 72% |
| Liberty Union Life Assurance Co | $130 | 72% |
| Lucent Health | $130 | 72% |
| Luminare Health | $130 | 72% |
| Magnacare | $130 | 72% |
| Medcost | $130 | 72% |
| Mutual Health Services | $130 | 72% |
| Mutual Of Omaha | $130 | 72% |
| Ncas | $130 | 72% |
| Nippon Life Ins | $130 | 72% |
| Nova | $130 | 72% |
| Painters Union Insurance Fund | $130 | 72% |
| Physicians Mutual | $130 | 72% |
| Plumbers Local 98 Insurance Fund | $130 | 72% |
| Prairie States | $130 | 72% |
| Preferred One | $130 | 72% |
| Primary Physician Care | $130 | 72% |
| Professional Benefit Administrators | $130 | 72% |
| Secureone Preferred United Plans | $130 | 72% |
| Siho Insurance Services | $130 | 72% |
| Sisco Benefits | $130 | 72% |
| The Loomis Company | $130 | 72% |
| Trustmark Small Business Benefits | $130 | 72% |
| U Of M Health Plan | $130 | 72% |
| Unicare | $130 | 72% |
| Unified Group Services | $130 | 72% |
| Us Health And Life | $130 | 72% |
| Valenz | $130 | 72% |
| Varipro | $130 | 72% |
| Wps | $130 | 72% |
| Humana | $143 - $279 | 79% |
| First Health | $147 | 81% |
| Paramount Hmo | $147 | 81% |
| UnitedHealthcare | $154 | 85% |
| American Postal Workers Secondary | $156 | 86% |
| Cigna | $156 | 86% |
| Health Partners | $156 | 86% |
| Healthgram | $156 | 86% |
| Mvp | $156 | 86% |
| Priority Health | $156 | 86% |
| Rural Carrier Health Benefit Plan | $159 | 88% |
| Medben | $167 - $209 | 92% |
| Consociate | $170 | 94% |
| Health Ohio Network | $170 | 94% |
| Healthlink Inc | $209 | 115% |
| Medical Benefits Mutual | $209 | 115% |
| Ohio Health Choice | $209 | 115% |
| Ohio Ppo Connect | $209 | 115% |
| Ameriben | $223 | 123% |
| Luminare Health (Detroit) | $223 | 123% |
| Medi Share | $223 | 123% |
| Multiplan | $223 | 123% |
| Ohiohealthy | $223 | 123% |
| Osu Not Independent Choice | $223 | 123% |
| Phcs | $223 | 123% |
| Philadelphia American Life Insurance | $223 | 123% |
| Twin Valley Psychiatric | $223 | 123% |
| Health Smart | $237 | 131% |
| Blue Cross Blue Shield | $279 | 154% |
| Medicaid / KanCare | $279 | 154% |