CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Lodi Community Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$189
about 1.0× the $181 Medicare rate · typically $134–$268
modeled estimate · not a bill or quote
What this hospital charges insurers
$213
About the fair price
about $24 over the fair price · 1.2× Medicare
Medicare pays $181 Fair price $189 This hospital $213 Cash price $214 Hospital's list price $329

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 $213

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 $189 (about 1.0× the $181 Medicare rate). Lodi Community Hospital charges insurers about $213, or about $214 in cash — about the fair price. Located in Lodi, 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 $99 - $235 55%
Blue Cross Blue Shieldmajor $161 - $269 89%
Aetnamajor $112 - $329 62%
Cignamajor $212 117%
Humanamajor $99 55%
AmeriHealth $234 129%
CareSource $213 117%
Molina $223 123%
Oscar Health $99 - $126 55%
UPMC Health Plan $197 109%
+ 15 smaller / regional plans $99 - $296
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals