CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Holy Family Memorial

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$153
about 0.8× the $181 Medicare rate · typically $152–$246
modeled estimate · not a bill or quote
What this hospital charges insurers
$153
About the fair price
0.8× Medicare
Medicare pays $181 Fair price $153 This hospital $153

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 2 charge more and 5 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.

A fair price for a Psychiatric evaluation (first visit) is about $153 (about 0.8× the $181 Medicare rate). Holy Family Memorial charges insurers about $153 — about the fair price. Located in Manitowoc, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $153 84%
Blue Cross Blue Shieldmajor $153 84%
Humanamajor $153 84%
HealthPartners $153 84%
Molina $153 - $165 84%
Security Health Plan $153 84%
+ 4 smaller / regional plans $153 - $156

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Facility Profile & Credentials

  • Address: 2300 Western Ave, Manitowoc, WI 54221
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals