CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: UPMC Pinnacle Hospitals

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$167
about 0.9× the $181 Medicare rate · typically $140–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$166
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $167 This hospital $166 Cash price $514 Hospital's list price $856

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 $166

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychiatric evaluation (first visit) is about $167 (about 0.9× the $181 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $166, or about $514 in cash — about the fair price. Located in Harrisburg, 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 - $169 19%
Blue Cross Blue Shieldmajor $119 - $1,801 66%
Aetnamajor $165 - $684 91%
Cignamajor $166 92%
Humanamajor $163 90%
Geisinger $328 - $613 181%
UPMC Health Plan $219 - $780 121%
+ 5 smaller / regional plans $119 - $948

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 409 South Second Street, Harrisburg, PA 17104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals