CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Phoenix Children's Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$202
about 1.1× the $181 Medicare rate · typically $96–$359
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $202 Hospital's list price $572

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $249 - $271 137%
Blue Cross Blue Shieldmajor $572 315%
Aetnamajor $262 - $419 144%
Cignamajor $239 - $458 132%
+ 13 smaller / regional plans $26 - $372
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens