CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Banner Payson Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$296

about 1.6× the $181 Medicare rate · typically $183–$644

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $296 Cash price $179 Hospital's list price $317

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$130 - $212	72%
Blue Cross Blue Shieldmajor	$130 - $918	72%
Aetnamajor	$129 - $210	71%
Cignamajor	$130 - $252	72%
Humanamajor	$138	76%
Kaiser Permanentemajor	$130	72%
Banner Health	$97 - $130	53%
Devoted Health	$143	79%
Health Net	$97 - $192	53%
Oscar Health	$214	118%
UPMC Health Plan	$130	72%
+ 13 smaller / regional plans	$97 - $285

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 179), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Banner Payson Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Banner Payson Medical Center

Compare: Psychiatric evaluation (first visit) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.