▸ Compare · PriceTransparency
Psychiatric diagnostic evaluation
CPT 90791 · negotiated-rate distribution across hospitals in WI
Hospitals
24
Min
$117.38
Median
$162.18
Max
$521.92
Range multiplier
4.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 7 | 40 | $108.23 | $170.94 | $696.35 | 6.4× |
| Medicare | 14 | 37 | $18.73 | $156.01 | $173.62 | 9.3× |
| UnitedHealthcare | 10 | 33 | $18.55 | $183.00 | $521.92 | 28.1× |
| VA Health | 11 | 22 | $154.46 | $156.01 | $163.27 | 1.1× |
| Blue Cross Blue Shield | 4 | 20 | $18.20 | $150.54 | $422.46 | 23.2× |
| Humana | 6 | 17 | $147.15 | $521.92 | $521.92 | 3.5× |
| aspirus | 1 | 15 | $67.39 | $162.39 | $439.07 | 6.5× |
| First Health | 5 | 15 | $45.00 | $314.10 | $433.80 | 9.6× |
| Molina | 7 | 14 | $152.81 | $324.37 | $344.10 | 2.3× |
| smart health | 7 | 14 | $218.41 | $218.41 | $228.58 | 1.0× |
| Cigna | 4 | 11 | $82.04 | $170.94 | $427.23 | 5.2× |
| Medicaid | 3 | 10 | $73.48 | $147.69 | $410.54 | 5.6× |
| network health plan | 6 | 8 | $98.79 | $192.88 | $250.94 | 2.5× |
| prevea 360 | 1 | 8 | $140.14 | $384.19 | $623.05 | 4.4× |
| security health plan | 3 | 8 | $87.90 | $146.00 | $226.85 | 2.6× |
| wps | 7 | 7 | $440.50 | $440.50 | $440.50 | 1.0× |
| mercy care | 1 | 6 | $102.55 | $202.67 | $256.55 | 2.5× |
| Multiplan | 2 | 6 | $126.26 | $214.83 | $219.45 | 1.7× |
| group health cooperative of eau claire | 2 | 6 | $111.00 | $189.42 | $219.45 | 2.0× |
| medica [900156] | 3 | 6 | $150.78 | $305.49 | $346.38 | 2.3× |
| health partners | 3 | 5 | $108.23 | $152.81 | $219.45 | 2.0× |
| trilogy | 2 | 5 | $207.90 | $207.90 | $353.50 | 1.7× |
| security health plan (shp) | 1 | 5 | $120.07 | $133.43 | $153.15 | 1.3× |
| Aetna | 2 | 5 | $122.10 | $269.67 | $417.13 | 3.4× |
| ma wisconsin replacement [950271] | 2 | 5 | $185.00 | $386.00 | $425.00 | 2.3× |
| WellCare | 2 | 4 | $162.18 | $162.18 | $162.18 | 1.0× |
| healthpartners | 1 | 4 | $303.00 | $378.75 | $378.75 | 1.3× |
| health payment systems | 3 | 4 | $117.38 | $160.78 | $328.25 | 2.8× |
| smarthealth | 2 | 4 | $216.24 | $216.24 | $216.24 | 1.0× |
| quartz health insurance | 1 | 3 | $117.94 | $117.94 | $117.94 | 1.0× |
| alliance | 3 | 3 | $427.55 | $427.55 | $427.55 | 1.0× |
| common ground | 1 | 3 | $303.00 | $303.00 | $303.00 | 1.0× |
| froedtert health | 1 | 3 | $97.13 | $111.00 | $117.94 | 1.2× |
| healthpartners [900713] | 3 | 3 | $218.79 | $296.61 | $398.74 | 1.8× |
| quartz | 2 | 3 | $131.67 | $153.15 | $228.32 | 1.7× |
| wisconsin physician service | 1 | 3 | $313.10 | $328.25 | $328.25 | 1.0× |
| wps health plan | 1 | 3 | $105.45 | $117.94 | $124.88 | 1.2× |
| health partners open network | 1 | 2 | $196.93 | $232.02 | $267.10 | 1.4× |
| health eos plus | 1 | 2 | $303.00 | $303.00 | $303.00 | 1.0× |
| health eos | 1 | 2 | $404.00 | $404.00 | $404.00 | 1.0× |
| medical associates health plan | 1 | 2 | $263.44 | $432.32 | $601.20 | 2.3× |
| meridiancare | 1 | 2 | $147.15 | $151.17 | $155.19 | 1.1× |
| dean health plan | 1 | 2 | $111.00 | $111.00 | $111.00 | 1.0× |
| common ground healthcare cooperative | 1 | 2 | $104.06 | $111.00 | $117.94 | 1.1× |
| centivo nw3 | 2 | 2 | $476.78 | $476.78 | $476.78 | 1.0× |
| centivo nw1 | 2 | 2 | $476.78 | $476.78 | $476.78 | 1.0× |
| centivo | 2 | 2 | $108.23 | $243.49 | $378.75 | 3.5× |
| cchp | 2 | 2 | $310.31 | $310.31 | $310.31 | 1.0× |
| trilogy health solutions | 1 | 2 | $104.06 | $111.00 | $117.94 | 1.1× |
| unitedhealth group of wi | 1 | 2 | $153.15 | $163.09 | $173.02 | 1.1× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | — | — | $183.00 | $521.92 | $521.92 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $505.00 | $252.50 | $252.50 | $353.50 | $503.00 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 7 | $864.00 | $457.92 | $156.41 | $344.10 | $521.92 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 7 | $864.00 | $457.92 | $156.41 | $344.10 | $521.92 |
| Meriter Hospital Inc. | Madison | WI | 14 | $733.00 | $586.40 | $67.39 | $226.85 | $696.35 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 20 | $231.00 | $219.45 | $117.30 | $170.94 | $221.76 |
| Westfields Hospital | New Richmond | WI | 8 | $425.00 | $223.55 | $73.48 | $167.54 | $425.00 |
| All Saints - St. Luke S Hospital | Racine | WI | 4 | $500.00 | $265.00 | $163.27 | $163.27 | $440.50 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 4 | $500.00 | $265.00 | $163.27 | $163.27 | $440.50 |
| Mercy Medical Center | Oshkosh | WI | 9 | $1,470.00 | $837.90 | $154.46 | $162.18 | $476.78 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 9 | $1,470.00 | $837.90 | $154.46 | $162.18 | $476.78 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 4 | — | — | $156.01 | $156.01 | $440.50 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 4 | — | — | $156.01 | $156.01 | $440.50 |
| Wheaton Franciscan - Franklin | Franklin | WI | 4 | — | — | $156.01 | $156.01 | $440.50 |
| Mosh | Franklin | WI | 4 | — | — | $156.01 | $156.01 | $440.50 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 4 | — | — | $156.01 | $156.01 | $440.50 |
| Holy Family Memorial Inc | Manitowoc | WI | 10 | — | — | $152.81 | $152.81 | $165.04 |
| Amery Regional Medical Center | Amery | WI | 7 | $482.00 | $251.31 | $18.20 | $144.63 | $433.80 |
| Hudson Hospital | Hudson | WI | 8 | $386.00 | $174.12 | $74.06 | $132.17 | $386.00 |
| Childrens Wisconsin | Milwaukee | WI | 29 | $138.75 | $76.31 | $97.13 | $117.38 | $131.81 |
| Willow Creek Behavioral Health | Green Bay | WI | 0 | $260.00 | — | — | — | — |
| River Falls Area Hospital | River Falls | WI | 0 | $601.80 | $337.01 | — | — | — |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $409.00 | $245.40 | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $409.00 | $245.40 | — | — | — |
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.