CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: UPMC Carlisle

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$169
about 0.9× the $181 Medicare rate · typically $151–$196
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
About the fair price
about $8 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $169 This hospital $161 Cash price $358 Hospital's list price $597

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 $161

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 $169 (about 0.9× the $181 Medicare rate). UPMC Carlisle charges insurers about $161, or about $358 in cash — about the fair price. Located in Carlisle, PA.

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 $34 - $1,059 19%
Blue Cross Blue Shieldmajor $119 - $480 66%
Aetnamajor $160 - $292 88%
Cignamajor $161 - $466 89%
Humanamajor $154 85%
AmeriHealth $85 47%
Geisinger $161 - $431 89%
UPMC Health Plan $219 - $418 121%
+ 5 smaller / regional plans $82 - $478
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 361 Alexander Spring Road, Carlisle, PA 17015
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals