CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$184
about 1.0× the $181 Medicare rate · typically $155–$213
modeled estimate · not a bill or quote
What this hospital charges insurers
$177
About the fair price
about $7 under the fair price · 1.0× Medicare
Medicare pays $181 Fair price $184 This hospital $177 Cash price $311 Hospital's list price $776

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

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

Cheapest $149 Priciest $177

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

A fair price for a Psychiatric evaluation (first visit) is about $184 (about 1.0× the $181 Medicare rate). Holy Cross Hospital - Salt Lake charges insurers about $177, or about $311 in cash — about the fair price. Located in Salt Lake City, UT.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $180 - $466 99%
Aetnamajor $343 - $656 189%
Cignamajor $278 - $621 153%
Humanamajor $139 77%
Molina $294 - $333 162%
SelectHealth $514 283%
+ 11 smaller / regional plans $120 - $776
Government programs also on file: Medicare, Medicaid.
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: 1050 East South Temple, Salt Lake City, UT 84102
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals