CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Heritage Valley Sewickley

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$173
about 1.0× the $181 Medicare rate · typically $143–$200
modeled estimate · not a bill or quote
What this hospital charges insurers
$163
About the fair price
about $10 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $173 This hospital $163 Cash price $112 Hospital's list price $413

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $108 Priciest $163

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $173 (about 1.0× the $181 Medicare rate). Heritage Valley Sewickley charges insurers about $163, or about $112 in cash — about the fair price. Located in Sewickley, PA.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $34 - $173 19%
Blue Cross Blue Shieldmajor $148 - $184 82%
Aetnamajor $173 - $227 95%
Cignamajor $128 - $173 71%
UPMC Health Plan $98 - $193 54%
+ 2 smaller / regional plans $137 - $172

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 720 Blackburn Road, Sewickley, PA 15143
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals