CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: University of Alabama Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $525
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.90x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at University of Alabama Hospital is $525. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.90x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$525

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Insurance Median: $525 (290%)

Ins. Median: $525 (290% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 290% of the Medicare baseline (a markup of 190%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Humana	$132 - $558	73%
Viva	$135 - $145	74%
Birmingham Fc	$144	79%
Blue Cross Blue Shield	$144	79%
Cooper Green	$144	79%
Davita Villagehealth	$144	79%
Jefferson County Sheriff	$144	79%
Triwest	$144	79%
UnitedHealthcare	$144 - $584	79%
Cigna	$154 - $500	85%
Ambetter / Centene	$198	109%
University Of Alabama	$328	181%
Aetna	$400	221%
Coventry	$426 - $530	235%
North Alabama Managed Care	$426	235%
Comp One	$472	260%
Construction Claims Management	$491	271%
Alamed	$492	271%
Corvel	$525	290%
Evolutions	$525 - $590	290%
Healthcare Alliance	$525	290%
Novanet	$525 - $590	290%
Prime Health Services	$525 - $590	290%
Select Value Care	$525	290%
Starcare	$525	290%
Tethys	$525	290%
Multiplan	$538	297%
Department Of Labor	$558	308%
Geha	$558	308%
Gulf Health Plans	$558	308%
Heritage Summit Health	$558	308%
Mississippi Physicians	$558	308%
Phifer	$558	308%
Preferred Health Partnership	$558	308%
Southern Nuclear	$558	308%
Vantage Health Plan	$558	308%
Galaxy Health Network	$590	325%
National Provider Network	$590	325%
North Mississippi Health Link	$590	325%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Alabama Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.