CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Adventist Health White Memorial
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $257
- Cash Discount Price: $146
- vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Adventist Health White Memorial is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.42x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$146
Average discount available for prompt cash payment at this facility.
Insurance Median
$257
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: $146 (81%)
Insurance Median: $257 (142%)
Cash: $146 (81% of Medicare)
Ins. Median: $257 (142% 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 |
|---|---|---|
| Bc Medi-Cal | $166 | 92% |
| Access Medi-Cal | $184 | 101% |
| Ahp Medi-Cal | $184 | 101% |
| Alta Los Angeles Mcal 1/1/19 | $184 | 101% |
| Avanti Mcal | $184 | 101% |
| Bella Vista Medi-Cal Op/Profee Only | $184 | 101% |
| Healthcare Inc Medi-Cal | $184 | 101% |
| Lasalle Mg Medi-Cal | $184 | 101% |
| Medi-Cal | $184 | 101% |
| Molina Medi-Cal | $184 | 101% |
| Pacific Alliance Medi-Cal | $184 | 101% |
| Pacific Ipa Medi-Cal | $184 | 101% |
| Preferred Ipa La Care Mcal Cap | $184 | 101% |
| Preferred Medi-Cal | $184 | 101% |
| Blue Shield Epn | $193 | 106% |
| Access Group | $194 | 107% |
| Ahp - All Other Plans | $194 | 107% |
| Lasalle Mg Commercial - All Other Plans | $194 | 107% |
| Altamed Medi-Cal - All Other Plans | $211 | 116% |
| Healthnet Mcal | $219 | 121% |
| Fcs Ipa Medi-Cal Op/Profee Only | $220 | 121% |
| Blue Shield - All Other Plans | $225 | 124% |
| Access Senior - All Other Plans | $228 | 126% |
| Ahp Senior | $228 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $228 | 126% |
| Altamed Connect | $228 | 126% |
| Avanti Mcr Adv - All Other Plans | $228 | 126% |
| Brand New Day Mcare - All Plans | $228 | 126% |
| Bs Va Mcare | $228 | 126% |
| Care First Mcare - All Other Plans | $228 | 126% |
| Clever Care - All Plans | $228 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $228 | 126% |
| Humana | $228 | 126% |
| Lasalle Mg Senior | $228 | 126% |
| Medicare (plans) | $228 | 126% |
| Molina Mcare | $228 | 126% |
| Pacific Alliance Mcare - All Other Plans | $228 | 126% |
| Preferred Senior | $228 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $228 | 126% |
| Tricare | $228 | 126% |
| UnitedHealthcare | $228 - $598 | 126% |
| Preferred Healthy | $230 | 127% |
| Blue Cross Blue Shield | $237 - $365 | 131% |
| Fcs Ipa Op/Profee Only - All Other Plans | $240 | 132% |
| Blue Shield Mcr Adv | $243 | 134% |
| Assoc Hispanic Physcns Mcal | $257 | 142% |
| Bright Health - All Plans | $263 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $274 | 151% |
| Preferred Commercial - All Other Plans | $274 | 151% |
| Intergrated Medical - All Plans | $297 | 164% |
| Molina Benefit Exchange - All Other Plans | $308 | 170% |
| Pacific Ipa - All Other Plans | $308 | 170% |
| Kaiser- All Plans | $333 | 184% |
| Php-Prospect Health Plan Cap - All Plans | $342 | 189% |
| Cigna | $343 | 189% |
| Healthnet - All Other Plans | $367 | 202% |
| Healthnet Comm Care | $378 | 208% |
| Aetna | $394 | 217% |
| Caremore Mcare - All Plans | $406 | 224% |
| Hcpamg - All Plans | $406 | 224% |
| Ah Employee Health Plan - All Plans | $411 | 227% |
| Healthcare Inc - All Other Plans | $446 | 246% |
| La Care Mcr Adv - All Plans | $446 | 246% |
| Western Growers/Pinnacle - All Plans | $454 | 250% |
| Blue Shield Medi-Cal | $459 | 253% |
| First Heatlh Ppo - All Plans | $470 | 259% |
| Centivo - All Plans | $514 | 283% |
| Phcs Ppo - All Plans | $527 | 291% |
| Scan Health Mcare - All Plans | $527 | 291% |
| Ahf - All Plans | $608 | 335% |
| Beech Street - All Plans | $608 | 335% |
| Interplan Ppo - All Plans | $608 | 335% |
| Care First Medi-Cal | $643 | 355% |
| Corvel Corp - All Plans | $649 | 358% |
| Multiplan Ppo - All Plans | $673 | 371% |
| Healthmannet - All Plans | $689 | 380% |
| Next Inc Ppo - All Plans | $689 | 380% |
| Trpn - All Plans | $689 | 380% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $730 | 403% |
| Fpn Ppo - All Plans | $730 | 403% |
| Healthnet Mcr Adv | $1,241 | 684% |