CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: North Central Health Care
Billing Code: 90791 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$169
about 0.9× the $181 Medicare rate · typically $107–$359
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $169 Cash price $446 Hospital's list price $446
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✓ Aetna CignaHumanaKaiser 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 | $262 - $266 | 144% |
| Blue Cross Blue Shieldmajor | $262 - $266 | 144% |
| Aetnamajor | $266 | 147% |
| Medica | $266 | 147% |
| Molina | $266 | 147% |
| Security Health Plan | $291 | 160% |
| + 9 smaller / regional plans | $205 - $285 |
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at North Central Health Care
Compare: Psychiatric evaluation (first visit) at other WI hospitals
- Black River Memorial Hospital · Black River Falls $114
- Beloit Health System · Beloit $142
- Norwood Health Center · Marshfield $143
- SSM Health St Mary's Hospital - Madison · Madison $151
- Gundersen Lutheran Medical Center · La Crosse $152
- Marshfield Medical Center - Beaver Dam (Mmc-Bd) · Beaver Dam $153
- Holy Family Memorial · Manitowoc $153
- Fort Memorial Hospital · Fort Atkinson $155
Insurance negotiated median for the same procedure, sorted lowest first.