CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Monterey Park Hospital
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $170
- Cash Discount Price: $227
- vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Monterey Park Hospital is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.94x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$227
Average discount available for prompt cash payment at this facility.
Insurance Median
$170
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: $227 (125%)
Insurance Median: $170 (94%)
Cash: $227 (125% of Medicare)
Ins. Median: $170 (94% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Altamed Health Services Corporation | $23 | 13% |
| Care 1St M Cal | $23 | 13% |
| Crown City Medical Group Inc | $23 | 13% |
| Family Health Alliance Medical Group | $23 - $128 | 13% |
| Physician Healthways | $23 - $57 | 13% |
| Universal Care M Cal/Advantage Health Network | $23 | 13% |
| Healthy Way La | $38 | 21% |
| Altamed Health Services | $45 | 25% |
| Global Care Medical Group Ipa | $45 - $102 | 25% |
| Healthnet/Ehs Capitation | $45 | 25% |
| Hispanic Physicians Ipa Medical Corporation | $45 | 25% |
| Bella Vista Medical Group | $54 - $183 | 30% |
| Community Health Plan M Cal Joy Ipa | $54 | 30% |
| Alta Med Health Services Corp | $57 - $225 | 31% |
| Ahmc Healthcare Inc | $68 - $128 | 37% |
| Ahmc Reciprocity Agreement Senior/Commercial | $68 | 37% |
| Allied Physicians Ipa | $68 | 37% |
| Esperanza Medical Group Ipa | $68 - $128 | 37% |
| Pacific Independent Physician Association | $68 - $128 | 37% |
| Tenet Reciprocity | $68 | 37% |
| Healthcare Partners Affiliates Medical Group | $81 | 45% |
| Molina Medical Centers | $89 | 49% |
| Central Health Plan Of California | $91 | 50% |
| Blue Cross Blue Shield | $114 - $976 | 63% |
| Blue Shield Of California | $114 - $1,423 | 63% |
| Garfield Medical Center | $114 | 63% |
| Alhambra Community Dialysis Unit Inc | $115 - $136 | 63% |
| Cigna | $116 | 64% |
| Associated Hispanic Physicians Ancillary | $118 - $128 | 65% |
| La Care Health Plan | $125 - $225 | 69% |
| Access Ipa Ancillary | $128 - $152 | 71% |
| Accountable Ipa | $128 | 71% |
| Aids Health Foundation | $128 - $225 | 71% |
| Allied Physicians | $128 - $342 | 71% |
| Altamed Health Network | $128 - $225 | 71% |
| Applecare Medical Group | $128 - $183 | 71% |
| Assess Ipa | $128 | 71% |
| Avanti | $128 - $274 | 71% |
| Bella Vista Medical Group Ancillary | $128 | 71% |
| Beverly Hospital | $128 - $251 | 71% |
| Brand New Day | $128 - $285 | 71% |
| Care 1St Mcl/Gar Cap | $128 | 71% |
| Central Health Plan | $128 | 71% |
| Community Health Plan | $128 | 71% |
| Emanate Health | $128 - $285 | 71% |
| Health Net Medi Cal | $128 | 71% |
| Healthnet Inc | $128 | 71% |
| Hollywood Presbyterian Adv Med Mcal | $128 | 71% |
| Hollywood Presbyterian Medpoint Mcal | $128 | 71% |
| La Care | $128 - $228 | 71% |
| Maxi Med Inc/Ipa | $128 - $228 | 71% |
| Medi Cal | $128 | 71% |
| Medical Managed Care Program | $128 | 71% |
| Molina Healthcare | $128 | 71% |
| Other Non-Contracted Medi-Cal | $128 | 71% |
| Preferred Ipa | $128 - $285 | 71% |
| Preferred Ipa Of California | $128 | 71% |
| Care 1St Health Plan | $136 | 75% |
| Employee Health Systems Medical Group | $136 | 75% |
| Greater Los Angeles Dialysis Inc | $136 | 75% |
| Health Net Of California | $136 - $680 | 75% |
| One Health Plan | $136 - $775 | 75% |
| Asi Flex Ppo W/C | $148 | 82% |
| Choice Care Network | $148 | 82% |
| UnitedHealthcare | $159 - $225 | 88% |
| Universal Care | $159 | 88% |
| Veterans Administration | $160 | 88% |
| Aetna | $165 - $227 | 91% |
| Interplan | $170 - $227 | 94% |
| Corvel Corporation | $182 - $925 | 100% |
| Preferred Health Network | $182 - $227 | 100% |
| Caloptima Direct | $188 | 104% |
| Bce Emergis Corp | $193 | 106% |
| Multiplan | $193 - $227 | 106% |
| Senior Citizens Choice | $202 | 111% |
| Alignment Health Plan | $221 | 122% |
| Apa/Aco Inc | $225 | 124% |
| Cms | $225 | 124% |
| Easy Choice Health Plan | $225 | 124% |
| First Health Senior | $225 | 124% |
| Foundation Health Plan | $225 | 124% |
| Health Net | $225 - $800 | 124% |
| Health Net Inc | $225 - $1,377 | 124% |
| Humana | $225 | 124% |
| Medicare (plans) | $225 - $236 | 124% |
| Scan Health Plan | $225 | 124% |
| Secure Horizons | $225 | 124% |
| Ucla/Impact Cancer | $225 | 124% |
| Athens Administrators | $227 | 125% |
| Commercial Non Contract | $227 | 125% |
| Indemnity W Comp Fee Schedule | $227 | 125% |
| Mri/Ct Greater El Monte Hospital | $227 | 125% |
| Mri/Mra/Alhambra Hospital | $227 | 125% |
| Mri/Mra/Eladh | $227 | 125% |
| One Legacy | $227 | 125% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $228 | 126% |
| La Care Covered Direct | $228 | 126% |
| Self-Pay | $228 | 126% |
| Molina Healthcare Medi-Connect | $236 | 130% |
| San Miguel Health Plan | $251 | 138% |
| Ahmc Health Epo | $285 | 157% |
| Knox-Keene Act | $285 | 157% |
| Molina Healthcare Of California | $285 | 157% |
| Pacificare | $852 - $3,571 | 470% |