CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Sharp Memorial Hospital
Billing Code: 90791 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$185
about 1.0× the $181 Medicare rate · typically $156–$317
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $185 Cash price $750 Hospital's list price $1,000
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 | $150 | 83% |
| Blue Cross Blue Shieldmajor | $750 - $800 | 414% |
| Aetnamajor | $550 - $820 | 303% |
| Cignamajor | $565 - $770 | 312% |
| Health Net | $630 - $980 | 347% |
| Molina | $700 | 386% |
| + 2 smaller / regional plans | $340 - $800 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sharp Memorial Hospital
Compare: Psychiatric evaluation (first visit) at other CA hospitals
- Uc San Diego Health Hillcrest - Hillcrest Med Ctr · San Diego $128
- Mountains Community Hospital · Lake Arrowhead $128
- Riverside Community Hospital · Riverside $134
- Good Samaritan Hospital · San Jose $134
- Los Robles Hospital & Medical Center · Thousand Oaks $141
- Bear Valley Community Hospital · Big Bear Lake $144
- Encino Hospital Medical Center · Encino $148
- Adventist Health Ukiah Valley · Ukiah $155
Insurance negotiated median for the same procedure, sorted lowest first.