Psychiatric evaluation (first visit)
Facility: Salina Regional Health Center
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $231
- Cash Discount Price: $181
- vs. Medicare Baseline: 1.27x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Preferred Phsic | $154 - $157 | 85% |
| Blue Cross Blue Shield | $177 - $186 | 98% |
| Preferred Healthcare - All Other Plans | $208 - $211 | 115% |
| Cigna | $231 - $235 | 127% |
| Multiplan (Mpi)-All Plans | $231 - $235 | 127% |
| Providers Care (Wppa)-All Plans | $231 - $235 | 127% |
| Aetna | $231 - $235 | 127% |
Consumer Guidance & Cost Commentary
For this psychiatric evaluation at Salina Regional Health Center in Salina, KS, the facility's cash price of $181.00 is lower than the median negotiated rate of $231.00 paid by insurance plans. While the facility's negotiated rates range from $154 to $235 depending on the payer, the cash price remains the most affordable option for patients without insurance. It is important to note that for individuals with high-deductible plans, paying the cash price upfront can sometimes be cheaper than the insurance negotiated rate if the deductible has not yet been met, as the patient would otherwise be responsible for the full $231.00 allowed amount before any coinsurance applies.
To ensure you receive the lowest possible rate, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you have received a bill from an out-of-network provider at this facility, you may be eligible for protections under the No Surprises Act, which bans balance billing for emergency and non-emergency services. If you are unsure whether a specific charge is correct, request a full itemized bill to review every line item, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Always verify your plan's specific allowed amount before scheduling to avoid unexpected costs.