CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Vandalia Health Broaddus Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$147

about 0.8× the $181 Medicare rate · typically $112–$250

modeled estimate · not a bill or quote

What this hospital charges insurers

$113

Below the fair price — a good deal

about $34 under the fair price · 0.6× Medicare

Medicare pays $181 Fair price $147 This hospital $113 Cash price $205 Hospital's list price $293

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

One of the lower prices — 7 of 8 other WV hospitals charge more for the same procedure.

Cheapest $92 Priciest $172

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 $147 (about 0.8× the $181 Medicare rate). Vandalia Health Broaddus Hospital charges insurers about $113, or about $205 in cash — below the fair price — a good deal. Located in Philippi, WV.

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	$149 - $308	82%
Blue Cross Blue Shieldmajor	$148 - $232	82%
Aetnamajor	$113 - $283	62%
Cignamajor	$177 - $277	98%
Humanamajor	$155 - $244	85%
GEHA	$192 - $301	106%
Health Net	$192 - $301	106%
UniCare	$113	62%
+ 6 smaller / regional plans	$35 - $311

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 205), 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 Vandalia Health Broaddus Hospital 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 Vandalia Health Broaddus Hospital

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

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