CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Jefferson Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$143
about 0.8× the $181 Medicare rate · typically $130–$166
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
About the fair price
about $13 under the fair price · 0.7× Medicare
Medicare pays $181 Fair price $143 This hospital $130 Cash price $80 Hospital's list price $420

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 $130

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 $143 (about 0.8× the $181 Medicare rate). Jefferson Hospital charges insurers about $130, or about $80 in cash — about the fair price. Located in Jefferson Hills, 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 $42 - $3,040 23%
Blue Cross Blue Shieldmajor $72 - $254 40%
Aetnamajor $161 - $377 89%
Cignamajor $165 - $380 91%
Humanamajor $164 90%
AmeriHealth $162 89%
Medical Mutual $380 210%
Molina $168 93%
+ 8 smaller / regional plans $43 - $182
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 565 Coal Valley Road, Jefferson Hills, PA 15025
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals