CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Black River Memorial Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$142
about 0.8× the $181 Medicare rate · typically $108–$317
modeled estimate · not a bill or quote
What this hospital charges insurers
$114
Below the fair price — a good deal
about $28 under the fair price · 0.6× Medicare
Medicare pays $181 Fair price $142 This hospital $114 Cash price $202 Hospital's list price $224

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Lowest price of the 9 WI hospitals we have prices for — a strong deal.

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 $142 (about 0.8× the $181 Medicare rate). Black River Memorial Hospital charges insurers about $114, or about $202 in cash — below the fair price — a good deal. Located in Black River Falls, 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 $72 - $325 40%
Blue Cross Blue Shieldmajor $72 - $197 40%
Aetnamajor $217 - $325 120%
Cignamajor $217 - $325 120%
Humanamajor $114 - $312 63%
HealthPartners $217 - $325 120%
Medica $209 - $313 115%
Quartz $72 - $305 40%
Security Health Plan $83 - $281 46%
+ 12 smaller / regional plans $72 - $328
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 711 W Adams St, Black River Falls, WI 54615
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals