CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Wheeling Hospital, Inc

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$158

about 0.9× the $181 Medicare rate · typically $132–$176

modeled estimate · not a bill or quote

What this hospital charges insurers

$176

About the fair price

about $18 over the fair price · 1.0× Medicare

Medicare pays $181 Fair price $158 This hospital $176 Cash price $116 Hospital's list price $232

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Highest price of the 9 WV hospitals we have prices for — worth calling around.

Cheapest $92 Priciest $176

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $158 (about 0.9× the $181 Medicare rate). Wheeling Hospital, Inc charges insurers about $176, or about $116 in cash — about the fair price. Located in Wheeling, WV.

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	$186	103%
Blue Cross Blue Shieldmajor	$113 - $701	62%
Aetnamajor	$115 - $179	63%
Humanamajor	$179	99%
+ 3 smaller / regional plans	$114 - $179

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 116), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Wheeling Hospital, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wheeling Hospital, Inc

Compare: Psychiatric evaluation (first visit) at other WV hospitals

Insurance negotiated median for the same procedure, sorted lowest first.