Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 90791 · WAUSAU, WI

90791 — Psych Diagnostic Evaluation

What each payer pays NORTH CENTRAL HEALTH CARE (CCN 524017) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$266 All-payer median here
$446 Cash / self-pay here
21 payer/plan-name variants
← This hospital National rates for 90791 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Security Health Plan of Wisconsin $291 9.5% 3
Cenpatico $285 7.2% 1
Group Health Cooperative $279 4.9% 1
Aspirus Health Plan - First Health Network $266 0.0% 1
Blue Cross Blue Advantage $266 0.0% 1
Chorus Community Health Plan $266 0.0% 1
Dean Care $266 0.0% 1
United Behavioral Health (Optum) $266 0.0% 1
UMR (UnitedHealthcare TPA) $266 0.0% 1
Lakeland Care District/WPS Insurance $266 0.0% 1
The Alliance $266 0.0% 1
Medica $266 0.0% 1
Molina Healthcare $266 0.0% 1
MultiPlan $266 0.0% 1
Aetna $266 0.0% 1
Aspirus Health Plan $266 0.0% 1
UnitedHealthcare $264 -0.8% 2
MA HMO-Blue Cross/Blue Shield/Ameri Group $262 -1.4% 1
Anthem (Elevance Health) $262 -1.5% 2
Inclusa - Family Care WPS Insurance $205 -22.8% 1
Forward Health - Medicaid $170 -35.9% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.