CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Sharp Chula Vista Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $620
Cash Discount Price: $750
vs. Medicare Baseline: 3.42x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Sharp Chula Vista Medical Center is $620. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $750. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.42x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$750

Average discount available for prompt cash payment at this facility.

Insurance Median

$620

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: $750 (414%)

Insurance Median: $620 (342%)

Cash: $750 (414% of Medicare)

Ins. Median: $620 (342% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 342% of the Medicare baseline (a markup of 242%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$63 - $700	35%
Community Health Group	$63 - $500	35%
Molina	$280 - $900	154%
Blue Cross Blue Shield	$297 - $700	164%
Health Net	$300 - $750	165%
Medi-Cal	$340	187%
UnitedHealthcare	$340 - $700	187%
Epic Americas	$500 - $770	276%
Kaiser	$557 - $800	307%
Allianz Global Assistance	$565 - $800	312%
California Health And Wellness	$620	342%
Cigna	$656 - $700	362%
Multiplan	$670 - $700	369%
Indian Health Council	$675	372%
Humana	$700	386%
Interplan	$700	386%
San Diego Pace	$700	386%
Blue Shield	$750 - $900	414%
County Medical Services	$800	441%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $750.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.