▸ Compare · PriceTransparency
Psychiatric diagnostic evaluation
CPT 90791 · negotiated-rate distribution across hospitals in WI
Hospitals
23
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 | 13 | 35 | $18.73 | $156.01 | $173.62 | 9.3× |
| UnitedHealthcare | 10 | 33 | $18.55 | $183 | $521.92 | 28.1× |
| VA Health | 10 | 20 | $154.46 | $156.01 | $163.27 | 1.1× |
| Blue Cross Blue Shield | 4 | 20 | $18.2 | $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 | $314.1 | $433.8 | 9.6× |
| Molina | 7 | 14 | $152.81 | $324.37 | $344.1 | 2.3× |
| smart health | 6 | 12 | $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× |
| prevea 360 | 1 | 8 | $140.14 | $384.19 | $623.05 | 4.4× |
| network health plan | 6 | 8 | $98.79 | $192.88 | $250.94 | 2.5× |
| security health plan | 3 | 8 | $87.9 | $146 | $226.85 | 2.6× |
| Multiplan | 2 | 6 | $126.26 | $214.83 | $219.45 | 1.7× |
| wps | 6 | 6 | $440.5 | $440.5 | $440.5 | 1.0× |
| group health cooperative of eau claire | 2 | 6 | $111 | $189.42 | $219.45 | 2.0× |
| mercy care | 1 | 6 | $102.55 | $202.67 | $256.55 | 2.5× |
| 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 | $207.9 | $207.9 | $353.5 | 1.7× |
| security health plan (shp) | 1 | 5 | $120.07 | $133.43 | $153.15 | 1.3× |
| Aetna | 2 | 5 | $122.1 | $269.67 | $417.13 | 3.4× |
| ma wisconsin replacement [950271] | 2 | 5 | $185 | $386 | $425 | 2.3× |
| WellCare | 2 | 4 | $162.18 | $162.18 | $162.18 | 1.0× |
| healthpartners | 1 | 4 | $303 | $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 | $303 | $303 | 1.0× |
| froedtert health | 1 | 3 | $97.13 | $111 | $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 | $313.1 | $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 | $267.1 | 1.4× |
| health eos plus | 1 | 2 | $303 | $303 | $303 | 1.0× |
| health eos | 1 | 2 | $404 | $404 | $404 | 1.0× |
| medical associates health plan | 1 | 2 | $263.44 | $432.32 | $601.2 | 2.3× |
| meridiancare | 1 | 2 | $147.15 | $151.17 | $155.19 | 1.1× |
| dean health plan | 1 | 2 | $111 | $111 | $111 | 1.0× |
| common ground healthcare cooperative | 1 | 2 | $104.06 | $111 | $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 | $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 | $521.92 | $521.92 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 18 | $505 | $252.5 | $252.5 | $353.5 | $503 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 7 | $864 | $457.92 | $156.41 | $344.1 | $521.92 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 7 | $864 | $457.92 | $156.41 | $344.1 | $521.92 |
| MERITER HOSPITAL INC. | MADISON | WI | 14 | $733 | $586.4 | $67.39 | $226.85 | $696.35 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 20 | $231 | $219.45 | $117.3 | $170.94 | $221.76 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $425 | $223.55 | $73.48 | $167.54 | $425 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 4 | $500 | $265 | $163.27 | $163.27 | $440.5 |
| ASCENSION NE WISC. - MERCY HOSPITAL | OSHKOSH | WI | 9 | $1,470 | $837.9 | $154.46 | $162.18 | $476.78 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 9 | $1,470 | $837.9 | $154.46 | $162.18 | $476.78 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 4 | — | — | $156.01 | $156.01 | $440.5 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 4 | — | — | $156.01 | $156.01 | $440.5 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 4 | — | — | $156.01 | $156.01 | $440.5 |
| MOSH | FRANKLIN | WI | 4 | — | — | $156.01 | $156.01 | $440.5 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 4 | — | — | $156.01 | $156.01 | $440.5 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 10 | — | — | $152.81 | $152.81 | $165.04 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 7 | $482 | $251.31 | $18.2 | $144.63 | $433.8 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $386 | $174.12 | $74.06 | $132.17 | $386 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 29 | $138.75 | $76.31 | $97.13 | $117.38 | $131.81 |
| WILLOW CREEK BEHAVIORAL HEALTH | GREEN BAY | WI | 0 | $260 | — | — | — | — |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 0 | $601.8 | $337.01 | — | — | — |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $409 | $245.4 | — | — | — |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $409 | $245.4 | — | — | — |
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.