Psychiatric evaluation (first visit)
Facility: Mercy Hospital Northwest Arkansas
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $293
- Cash Discount Price: $317
- vs. Medicare Baseline: 1.62x 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 |
|---|---|---|
| Mercy Interfacility [20513] | $89 | 49% |
| Aither Health Contracted [320449] | $122 | 67% |
| Edison Health Solutions Contracted [320502] | $122 | 67% |
| Mercy Benefit Admin Contracted [320251] | $122 - $293 | 67% |
| Yuzu Health Contracted [320521] | $122 | 67% |
| Blue Cross Blue Shield | $137 - $155 | 76% |
| Medicaid / KanCare | $137 - $156 | 76% |
| Usable Contracted [320409] | $155 | 85% |
| Aetna | $156 - $390 | 86% |
| Humana | $156 - $390 | 86% |
| 90 Degree Benefits Contracted [320436] | $244 | 135% |
| Show-Me Health Administrators Contracted [320483] | $244 | 135% |
| Cigna | $254 | 140% |
| Health Choice Contracted [320166] | $281 | 155% |
| Auxiant Contracted [320462] | $293 - $317 | 162% |
| Ebms Contracted [320493] | $293 | 162% |
| Healthlink Contracted [320179] | $293 - $317 | 162% |
| Imagine 360 Contracted [320494] | $293 | 162% |
| Municipal Health Plan Contracted [320271] | $293 | 162% |
| Reflect Health Contracted [320492] | $293 | 162% |
| Benefit Management Contracted [320052] | $317 | 175% |
| Federal Medical Center Contracted [320127] | $317 | 175% |
| Insurance System Inc Contracted [320465] | $317 | 175% |
| Personify Health Contracted [320051] | $317 | 175% |
| Point C Contracted [320238] | $317 | 175% |
| Preferred Health Plan Contracted [320522] | $317 | 175% |
| Tri State Healthcare Coalition Contracted [320379] | $317 | 175% |
| Workers Comp [20426] | $317 | 175% |
| Novasys Contracted [320285] | $342 | 189% |
| Private Health Care Systems Contracted [320320] | $356 | 196% |
| Private Health Care Systems [20320] | $356 | 196% |
| Ppo Plus Contracted [320310] | $366 | 202% |
| First Health Contracted [320128] | $377 | 208% |
| Employers Health Coalition Contracted [320116] | $383 | 211% |
| Healthscope Contracted [320182] | $390 | 215% |
| Qual Choice Contracted [320324] | $403 | 222% |
| Multiplan Contracted [320270] | $415 | 229% |
| Multiplan [20270] | $415 | 229% |
| United Medical Resources Contracted [320454] | $570 | 314% |
| UnitedHealthcare | $570 | 314% |