CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Memorial Hospital of Lafayette County

Billing Code: 90791 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$156
about 0.9× the $181 Medicare rate · typically $110–$353
modeled estimate · not a bill or quote
What this hospital charges insurers
$164
About the fair price
about $8 over the fair price · 0.9× Medicare
Medicare pays $181 Fair price $156 This hospital $164

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 $164

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 $156 (about 0.9× the $181 Medicare rate). Memorial Hospital of Lafayette County charges insurers about $164 — about the fair price. Located in Darlington, WI.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $164 - $213 90%
Blue Cross Blue Shieldmajor $164 90%
Aetnamajor $164 90%
Humanamajor $164 90%
Dean Health Plan $164 90%
Quartz $164 90%
+ 1 smaller / regional plan $164

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Facility Profile & Credentials

  • Address: 211 Bev Anderson Dr, Darlington, WI 53530
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals