CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Adventist Health Bakersfield

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $156
Cash Discount Price: $54
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Adventist Health Bakersfield is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.86x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $54 (30%)

Insurance Median: $156 (86%)

Cash: $54 (30% of Medicare)

Ins. Median: $156 (86% 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.

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
Bc Medi-Cal	$128	71%
Medi-Cal	$128	71%
Universal Hc Mcal Profee Only	$128	71%
Blue Shield Mcr Adv	$140	77%
Fhcn Pace Mcr Adv - All Plans	$140	77%
Gem Care- All Plans	$140	77%
Healthnet Mcr Adv	$140	77%
Kern Legacy Share Select	$140	77%
Oscar - All Plans	$140	77%
Premier Physician Alliance Profee Only-All Plans	$140	77%
UnitedHealthcare	$140 - $161	77%
County Of Kern - All Plans	$154	85%
Employee Health Plan - All Plans	$154	85%
Kern Legacy Hp Epo - All Other Plans	$154	85%
Cigna	$156	86%
Aetna	$181	100%
Kern Health Systems Mcal	$181	100%
Network Provdrs Llc Mcare -All Payers	$182	100%
Western Growers/Pinnacle- All Plans	$195	108%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans	$204	112%
Centivo - All Plans	$210	116%
Universal Health Plan Mcare-All Other Plans	$228	126%
Blue Shield Epn	$243	134%
Blue Shield Epo/Ppo	$257	142%
Blue Shield Hmo/Pos - All Other Plans	$257	142%
Blue Cross Blue Shield	$320	176%

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 $54.
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 Adventist Health Bakersfield 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.