CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: SSM Health St Mary's Hospital - Madison

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$204
about 1.1× the $181 Medicare rate · typically $141–$382
modeled estimate · not a bill or quote
What this hospital charges insurers
$151
Below the fair price — a good deal
about $53 under the fair price · 0.8× Medicare
Medicare pays $181 Fair price $204 This hospital $151 Cash price $469 Hospital's list price $852

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 WI hospitals compared.

Cheapest $114 Priciest $155

Black dot = this hospital, among the 9 WI 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 $204 (about 1.1× the $181 Medicare rate). SSM Health St Mary's Hospital - Madison charges insurers about $151, or about $469 in cash — below the fair price — a good deal. Located in Madison, WI.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Dean Health Plan $172 95%
Molina $129 71%

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: 700 South Park St, Madison, WI 53715
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals