CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Anaheim Global Medical Center
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $273
- Cash Discount Price: $2,546
- vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Anaheim Global Medical Center is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,546. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.51x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
$2,546
Average discount available for prompt cash payment at this facility.
Insurance Median
$273
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: $2,546 (1404%)
Insurance Median: $273 (151%)
Cash: $2,546 (1404% of Medicare)
Ins. Median: $273 (151% 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 Mcal Hmo (Ancillary) | $128 | 71% |
| Healthcare Partners | $128 | 71% |
| Hollywood Presbyterian | $128 | 71% |
| Kaiser | $128 - $1,568 | 71% |
| Medi-Cal Hmo/Non Contract | $128 | 71% |
| Prime Health Services | $128 - $2,164 | 71% |
| State Of California | $128 - $304 | 71% |
| Brand New Day | $154 - $285 | 85% |
| Altamed | $179 - $227 | 99% |
| Caloptima | $179 - $228 | 99% |
| Choc Health Alliance | $179 | 99% |
| County Of Orange | $179 - $2,546 | 99% |
| Family Choice Mcal | $179 | 99% |
| Heritage Provider Network | $179 - $1,528 | 99% |
| Prospect Health Plan | $179 - $342 | 99% |
| Altamed Health Services | $216 - $227 | 119% |
| Champus | $219 | 121% |
| Aetna | $227 - $1,394 | 125% |
| Astiva | $227 | 125% |
| Blue Shield Of California | $227 - $866 | 125% |
| California Health Plan | $227 | 125% |
| Central Health Plan Of California Inc | $227 | 125% |
| Champion Health Plan | $227 | 125% |
| Citizens Choice | $227 | 125% |
| Clever Care Health Plan | $227 | 125% |
| Easy Choice | $227 | 125% |
| For Your Benefit | $227 | 125% |
| Health Net Inc | $227 - $1,757 | 125% |
| Healthcare Partners Sr Hmo | $227 | 125% |
| Hollywood Presbyerian | $227 | 125% |
| Humana | $227 | 125% |
| Medicare (plans) | $227 | 125% |
| Monarch | $227 | 125% |
| Onecare | $227 | 125% |
| Other Sr Non Contract | $227 | 125% |
| Physicians For Healthy Hospitals | $227 | 125% |
| Scan | $227 | 125% |
| St Joseph Hospital Sr | $227 | 125% |
| UnitedHealthcare | $227 | 125% |
| Us Federal Marshall/Department Of Immigration | $227 | 125% |
| Velocity National Provider Network Sr | $227 | 125% |
| Verda Health Plan | $227 | 125% |
| Veterans Administration | $227 | 125% |
| Choice Physicians Network | $228 | 126% |
| Imperial Health Plan Of Ca | $228 | 126% |
| Innovative Integrated Health | $228 | 126% |
| Medcare Partners Health Plan | $228 | 126% |
| Self Pay/Ab774/Cbo Use Only | $228 | 126% |
| Us Dept Of Labor | $228 | 126% |
| Victim Of Violent Crime | $228 | 126% |
| Victim Of Violent Crime (Mep) | $228 | 126% |
| Victoria Hospice | $228 | 126% |
| Healthcare Partners Hmo | $247 | 136% |
| Align Sr Care | $254 | 140% |
| Coventry Health | $273 - $284 | 151% |
| Interplan | $276 - $1,910 | 152% |
| Veterans Evaluation Services | $285 | 157% |
| Multiplan | $298 - $1,782 | 164% |
| Three Rivers Network | $298 - $400 | 164% |
| Velocity National Provider Network Wc | $304 | 168% |
| Staywell/Island Home Ins | $320 | 176% |
| Naphcare | $354 | 195% |
| Health Net | $392 - $1,859 | 216% |
| Velocity National Provider Network Ppo | $400 | 221% |
| Ihhi Reciprocity | $764 | 421% |
| Velocity National Provider Network Auto Med Ppo | $1,146 | 632% |
| Cigna | $1,319 - $2,037 | 727% |
| First Health | $1,337 | 737% |
| Magellan Behavioral Health | $1,528 | 843% |
| Primecare Medical Network Inc | $1,528 | 843% |
| Networks By Design | $1,782 | 983% |
| Healthsmart Preferred Network | $1,910 | 1053% |
| Provider Network Of America | $2,037 | 1123% |
| Ahmc Healthcare | $2,546 | 1404% |
| Lucet Bh Scan Sr | $2,546 | 1404% |
| Managed Health Network | $2,546 | 1404% |
| Other Insurance Loa | $2,546 | 1404% |
| Other Non Contracted Plans | $2,546 | 1404% |
| Private Pay | $2,546 | 1404% |
| Usbhpc | $2,546 | 1404% |