CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Kingman Regional Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $233
  • Cash Discount Price: $147
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Kingman Regional Medical Center is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.28x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.
Cash / Self-Pay
$147

Average discount available for prompt cash payment at this facility.

Insurance Median
$233

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%)
Cash / Self-Pay: $147 (81%)
Insurance Median: $233 (128%)
Cash: $147 (81% of Medicare)
Ins. Median: $233 (128% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Health Choice Generations $137 76%
Hpn Sierra Nevada Mcr Adv $137 76%
Medicare (plans) $137 76%
Triwest - All Plans $137 76%
Care 1St Mcr Adv-All Other Plans $144 79%
Mercy Care Adv Snp-All Other Plans $151 83%
Humana $153 - $256 84%
Apipa - Ahcccs-All Other Plans $156 86%
Health Choice Az $156 86%
Care 1St Mcaid $164 90%
Mercy Care Ahcccs Ddd $171 94%
UnitedHealthcare $172 - $230 95%
Geo Group Chc Az State Prison-All Plans $205 113%
Aetna $212 117%
Health Plan Of Nevada-All Other Plans $212 117%
Blue Cross Blue Shield $213 117%
Cigna $233 128%
Health Choice Hie Exchange $233 128%
Multiplan-All Plans $233 128%
Health Choice- All Other Plans $342 189%
Three Rivers-All Plans $376 - $502 207%
America'S Choice Provider Network-All Plans $389 - $519 215%
Az Foundation-All Plans $409 - $546 226%
Mediversal-All Plans $409 - $546 226%
One Health Plan-All Plans $409 - $546 226%
Universal Health-All Plans $409 - $546 226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3269 Stockton Hill Road, Kingman, AZ 86401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals