CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Saint John's Health Center
Billing Code: 90791 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$255
about 1.4× the $181 Medicare rate · typically $203–$322
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $255 Cash price $3 Hospital's list price $9
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $239 - $285 | 132% |
| Aetnamajor | $228 | 126% |
| Humanamajor | $233 | 128% |
| Health Net | $422 - $489 | 233% |
| + 2 smaller / regional plans | $251 - $297 |
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Other Procedures at Saint John's Health Center
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.