CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Froedtert Memorial Lutheran 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 $156–$334
modeled estimate · not a bill or quote
What this hospital charges insurers
$163
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $166 This hospital $163 Cash price $206 Hospital's list price $375

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 $163

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 $166 (about 0.9× the $181 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $163, or about $206 in cash — about the fair price. Located in Milwaukee, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $163 - $483 90%
Blue Cross Blue Shieldmajor $143 - $403 79%
Aetnamajor $155 - $308 85%
Cignamajor $186 - $370 103%
Humanamajor $163 90%
Dean Health Plan $191 - $379 105%
Health Net $148 - $294 82%
HealthPartners $148 - $294 82%
Molina $163 90%
Priority Health $163 90%
Quartz $163 90%
Security Health Plan $163 - $373 90%
WellCare $167 92%
+ 15 smaller / regional plans $72 - $403
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals