CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Marinhealth Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $1,441
Cash Discount Price: $1,125
vs. Medicare Baseline: 7.95x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Marinhealth Medical Center is $1,441. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,125. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 7.95x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.

Cash / Self-Pay

$1,125

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,441

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: $1,125 (620%)

Insurance Median: $1,441 (795%)

Cash: $1,125 (620% of Medicare)

Ins. Median: $1,441 (795% 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 795% of the Medicare baseline (a markup of 695%). 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	$251	138%
Brown And Tolan	$251	138%
Healthnet Tailored Network	$251	138%
Kaiser	$251	138%
Marin Cancer Care	$251	138%
Ca Prison Health Care Services	$401	221%
Healthnet Enhancedcare	$651	359%
Provider Network Of America	$1,190	656%
Canopy	$1,441	795%
Canopy Hill Physicians	$1,441	795%
Blue Shield Cpic/Epo	$1,486	819%
Providers Network Of America	$1,578	870%
Blue Shield Hmo/Ppo	$1,651	910%
Hills Blue Shield Hmo/Ppo	$1,651	910%
Healthnet Hmo/Ppo	$1,671	921%
Healthnet Hmo/Ppo Hill Physicians	$1,671	921%
Blue Shield Aco	$1,711	944%
UnitedHealthcare	$2,330	1285%

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 $1,125.
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 Marinhealth 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.