CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Saint Thomas Highlands Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$166
about 0.9× the $181 Medicare rate · typically $152–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$152
About the fair price
about $14 under the fair price · 0.8× Medicare
Medicare pays $181 Fair price $166 This hospital $152

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $98 Priciest $152

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

A fair price for a Psychiatric evaluation (first visit) is about $166 (about 0.9× the $181 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $152 — about the fair price. Located in Sparta, TN.

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✓ Humana CignaKaiser 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 $152 84%
Blue Cross Blue Shieldmajor $152 - $159 84%
Aetnamajor $105 - $155 58%
Humanamajor $152 84%
Ambetter (Centene) $197 109%
Amerigroup $152 84%
Cigna HealthSpring $152 84%
Oscar Health $212 117%
+ 6 smaller / regional plans $55 - $212
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals