▸ Compare · PriceTransparency
Psychiatric diagnostic evaluation
CPT 90791 · negotiated-rate distribution across hospitals in MI
Hospitals
24
Min
$97.17
Median
$164.51
Max
$259.75
Range multiplier
2.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicare | 10 | 63 | $130.33 | $142.79 | $250.72 | 1.9× |
| UnitedHealthcare | 17 | 58 | $81.51 | $148.35 | $398.09 | 4.9× |
| Medicaid | 9 | 51 | $79.51 | $87.89 | $275.00 | 3.5× |
| Aetna | 18 | 32 | $95.76 | $166.12 | $267.63 | 2.8× |
| Humana | 16 | 31 | $136.64 | $166.12 | $184.24 | 1.3× |
| Blue Cross Blue Shield | 11 | 24 | $71.48 | $185.64 | $505.08 | 7.1× |
| Ambetter | 8 | 16 | $266.11 | $266.11 | $271.33 | 1.0× |
| smarthealth | 8 | 16 | $225.79 | $225.79 | $234.49 | 1.0× |
| Medicare Advantage | 8 | 15 | $131.83 | $161.28 | $161.28 | 1.2× |
| Oscar Health | 7 | 14 | $258.05 | $258.05 | $258.05 | 1.0× |
| healthspring mcr replacement | 7 | 14 | $162.89 | $163.70 | $164.51 | 1.0× |
| blue mcr replacement | 7 | 14 | $161.28 | $161.28 | $161.28 | 1.0× |
| WellCare | 7 | 14 | $161.28 | $161.28 | $161.28 | 1.0× |
| occunet | 7 | 14 | $298.37 | $330.63 | $362.88 | 1.2× |
| facility billing - op | 7 | 14 | $161.28 | $161.28 | $161.28 | 1.0× |
| priority health | 8 | 9 | $175.98 | $175.98 | $190.88 | 1.1× |
| mclaren commercial ins | 8 | 8 | $125.18 | $125.18 | $125.18 | 1.0× |
| hap - hmo | 8 | 8 | $146.59 | $146.59 | $146.59 | 1.0× |
| u of m health plan | 8 | 8 | $157.14 | $157.14 | $157.14 | 1.0× |
| TRICARE | 6 | 7 | $141.68 | $153.20 | $167.49 | 1.2× |
| evernorth behavioral health | 7 | 7 | $65.00 | $65.00 | $65.00 | 1.0× |
| mi amish medical board | 5 | 5 | $156.70 | $156.70 | $156.70 | 1.0× |
| First Health | 4 | 4 | $131.04 | $141.27 | $483.40 | 3.7× |
| priority health op rate | 4 | 4 | $92.29 | $96.67 | $287.36 | 3.1× |
| hp - ppo op rate | 3 | 3 | $94.62 | $94.62 | $323.76 | 3.4× |
| hcap op rate | 3 | 3 | $99.72 | $99.72 | $126.00 | 1.3× |
| hp - hmo op rate | 3 | 3 | $68.19 | $68.19 | $243.29 | 3.6× |
| cofinity - ppom op rate | 3 | 3 | $142.10 | $142.10 | $278.66 | 2.0× |
| hap - hmo op rate | 3 | 3 | $76.78 | $76.78 | $209.45 | 2.7× |
| health advantage - commercial op rate | 2 | 2 | $58.25 | $58.25 | $58.25 | 1.0× |
| blue care network op rate | 2 | 2 | $88.90 | $88.90 | $88.90 | 1.0× |
| Bright Health | 1 | 2 | $209.36 | $209.36 | $209.36 | 1.0× |
| great lakes research op rate | 2 | 2 | $99.72 | $99.72 | $99.72 | 1.0× |
| hap - ppo op rate | 2 | 2 | $106.53 | $106.53 | $106.53 | 1.0× |
| mclaren health plan op rate | 2 | 2 | $67.83 | $67.83 | $67.83 | 1.0× |
| mi amish medical board op rate | 2 | 2 | $153.56 | $153.56 | $153.56 | 1.0× |
| health advantage - ppo op rate | 1 | 1 | $182.72 | $182.72 | $182.72 | 1.0× |
| hurley medical center op rate | 1 | 1 | $159.24 | $159.24 | $159.24 | 1.0× |
| hap/ahl op rate | 1 | 1 | $209.45 | $209.45 | $209.45 | 1.0× |
| mclaren health op rate | 1 | 1 | $54.97 | $54.97 | $54.97 | 1.0× |
| bcn op rate | 1 | 1 | $71.48 | $71.48 | $71.48 | 1.0× |
| hap preferred op rate | 1 | 1 | $233.17 | $233.17 | $233.17 | 1.0× |
| hap ppo op rate | 1 | 1 | $106.29 | $106.29 | $106.29 | 1.0× |
| hap hmo op rate | 1 | 1 | $84.40 | $84.40 | $84.40 | 1.0× |
| mhp - hmo op rate | 1 | 1 | $182.72 | $182.72 | $182.72 | 1.0× |
| hap ahl op rate | 1 | 1 | $85.34 | $85.34 | $85.34 | 1.0× |
| auto-cofinity op rate | 1 | 1 | $142.80 | $142.80 | $142.80 | 1.0× |
| Multiplan | 1 | 1 | $134.94 | $134.94 | $134.94 | 1.0× |
| cofinity wc op rate | 1 | 1 | $278.66 | $278.66 | $278.66 | 1.0× |
| cofinity op rate | 1 | 1 | $103.82 | $103.82 | $103.82 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mclaren Bay Special Care | Bay City | MI | 18 | — | $86.40 | $58.25 | $97.17 | $153.56 |
| Ascension St John Hospital | Detroit | MI | 2 | $335.00 | $123.95 | $142.40 | $259.75 | $259.75 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | $532.00 | $175.56 | $167.49 | $184.24 | $505.08 |
| Borgess-Pipp Health Center | Plainwell | MI | 13 | — | — | $65.00 | $164.51 | $362.88 |
| Ascension Borgess Hospital | Kalamazoo | MI | 13 | — | — | $65.00 | $164.51 | $362.88 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 13 | — | — | $65.00 | $164.51 | $362.88 |
| Ascension Providence Rochester Hospi | Rochester | MI | 13 | — | — | $65.00 | $164.51 | $362.88 |
| Ascension Standish Hospital | Standish | MI | 13 | — | — | $65.00 | $164.51 | $362.88 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 13 | — | — | $65.00 | $164.51 | $362.88 |
| Ascension Allegan Hospital | Allegan | MI | 13 | — | — | $65.00 | $164.51 | $362.88 |
| Mclaren Flint | Flint | MI | 27 | $396.50 | $295.70 | $79.51 | $156.70 | $483.40 |
| Mclaren Lapeer Region | Lapeer | MI | 12 | $396.50 | $198.25 | $87.89 | $143.67 | $250.72 |
| Mclaren Greater Lansing | Lansing | MI | 12 | $301.10 | $150.60 | $87.89 | $143.67 | $250.72 |
| Mclaren Northern Michigan | Petoskey | MI | 12 | $396.50 | $198.25 | $87.89 | $141.21 | $250.72 |
| Mclaren Central Michigan | Mt Pleasant | MI | 10 | $301.10 | $150.60 | $118.15 | $139.37 | $185.64 |
| Mclaren Thumb Region | Bad Axe | MI | 10 | $301.10 | $150.60 | $118.15 | $139.37 | $185.64 |
| Bay Regional Medical Center | Bay City | MI | 25 | $394.60 | $197.30 | $58.25 | $134.63 | $250.72 |
| Mclaren Port Huron | Port Huron | MI | 27 | $301.10 | $150.60 | $54.97 | $125.18 | $185.64 |
| Mckenzie Health System | Sandusky | MI | 0 | $274.00 | $219.20 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $271.00 | $135.50 | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $271.00 | $135.50 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $297.00 | $135.50 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $477.00 | $228.96 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $571.00 | $399.70 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.