CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$179

about 1.0× the $181 Medicare rate · typically $114–$227

modeled estimate · not a bill or quote

What this hospital charges insurers

$128

Below the fair price — a good deal

about $51 under the fair price · 0.7× Medicare

Medicare pays $181 Fair price $179 This hospital $128 Cash price $383 Hospital's list price $697

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Lowest price of the 9 CA hospitals we have prices for — a strong deal.

Cheapest $128 Priciest $161

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $179 (about 1.0× the $181 Medicare rate). Uc San Diego Health Hillcrest - Hillcrest Med Ctr charges insurers about $128, or about $383 in cash — below the fair price — a good deal. Located in San Diego, CA.

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	$84 - $836	46%
Blue Cross Blue Shieldmajor	$84 - $421	46%
Aetnamajor	$84 - $320	46%
Cignamajor	$84 - $418	46%
Humanamajor	$84 - $592	46%
Kaiser Permanentemajor	$467 - $697	258%
Health Net	$84 - $1,959	46%
HealthPartners	$453	250%
Molina	$161	89%
Sentara	$186	103%
+ 68 smaller / regional plans	$84 - $941

Government programs also on file: Medicaid, Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 383), 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 Uc San Diego Health Hillcrest - Hillcrest Med Ctr 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 Uc San Diego Health Hillcrest - Hillcrest Med Ctr

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

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