CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Adventist Health Sonora

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$205
about 1.1× the $181 Medicare rate · typically $138–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$208
About the fair price
about $3 over the fair price · 1.1× Medicare
Medicare pays $181 Fair price $205 This hospital $208 Cash price $66 Hospital's list price $390

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $128 Priciest $208

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 $205 (about 1.1× the $181 Medicare rate). Adventist Health Sonora charges insurers about $208, or about $66 in cash — about the fair price. Located in Sonora, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $140 - $368 77%
Blue Cross Blue Shieldmajor $140 - $296 77%
Aetnamajor $244 - $271 135%
Cignamajor $172 - $370 95%
Kaiser Permanentemajor $195 108%
Health Net $128 - $342 71%
+ 14 smaller / regional plans $128 - $440
Government programs also on file: Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals