CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Clovis Community Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$181
about 1.0× the $181 Medicare rate · typically $127–$181
modeled estimate · not a bill or quote
What this hospital charges insurers
$186
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $181 Fair price $181 This hospital $186 Cash price $430 Hospital's list price $537

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 $186

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 $181 (about 1.0× the $181 Medicare rate). Clovis Community Medical Center charges insurers about $186, or about $430 in cash — about the fair price. Located in Clovis, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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
UnitedHealthcaremajor $179 - $282 99%
Blue Cross Blue Shieldmajor $129 - $341 71%
Aetnamajor $179 - $718 99%
Cignamajor $179 - $333 99%
Humanamajor $179 - $456 99%
Kaiser Permanentemajor $181 100%
Health Net $179 - $315 99%
Sentara $163 90%
WellCare $179 - $228 99%
+ 51 smaller / regional plans $134 - $591
Government programs also on file: Medicare, Medicaid.
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: 2755 Herndon Ave, Clovis, CA 93611
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals