CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Ascension Ne Wisconsin - St Elizabeth Campus

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$211
about 1.2× the $181 Medicare rate · typically $159–$270
modeled estimate · not a bill or quote
What this hospital charges insurers
$189
Below the fair price — a good deal
about $22 under the fair price · 1.0× Medicare
Medicare pays $181 Fair price $211 This hospital $189 Cash price $443 Hospital's list price $777

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $114 Priciest $189

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

A fair price for a Psychiatric evaluation (first visit) is about $211 (about 1.2× the $181 Medicare rate). Ascension Ne Wisconsin - St Elizabeth Campus charges insurers about $189, or about $443 in cash — below the fair price — a good deal. Located in Appleton, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $162 89%
Molina $324 179%
WellCare $162 89%
+ 3 smaller / regional plans $216 - $477
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 1506 S Oneida St, Appleton, WI 54915
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals