CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Coastal Communities Hospital
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 Coastal Communities Hospital 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 2701 S Bristol St, Santa Ana, 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 - $227 | 71% |
| Kaiser | $128 - $1,568 | 71% |
| Medi-Cal Hmo/Non Contract | $128 | 71% |
| Medicaid / KanCare | $128 | 71% |
| Kpc Healthcare Inc | $154 - $285 | 85% |
| Altamed Health Services | $179 - $227 | 99% |
| Caloptima | $179 - $228 | 99% |
| Choc Health Alliance | $179 | 99% |
| County Of Orange | $179 | 99% |
| Family Choice | $179 | 99% |
| Heritage Provider Network | $179 - $1,528 | 99% |
| Prospect Health Plan | $179 - $342 | 99% |
| Champus | $219 | 121% |
| Blue Shield | $227 - $866 | 125% |
| Central Health Plan Of California | $227 | 125% |
| Champion Health Plan | $227 | 125% |
| Citizens Choice Health Plan | $227 | 125% |
| Clever Care Health Plan | $227 | 125% |
| Easy Choice Health Plan | $227 | 125% |
| For Your Benefit | $227 | 125% |
| Health Net | $227 - $1,859 | 125% |
| Healthcare Partners Sr Hmo | $227 | 125% |
| Heritage | $227 | 125% |
| Humana | $227 | 125% |
| Monarch | $227 | 125% |
| Onecare | $227 | 125% |
| Onecare Connect | $227 | 125% |
| Other Senior Non Contract | $227 | 125% |
| Scan Health Plan | $227 | 125% |
| UnitedHealthcare | $227 | 125% |
| Us Federal Marshall/Department Of Immigration | $227 | 125% |
| Velocity Provider Network Sr | $227 | 125% |
| Verda Health Plan Sr | $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 | $228 | 126% |
| Self Pay Ab774/Cbo Use Only | $228 | 126% |
| Us Dept Of Labor | $228 | 126% |
| Victim Of Violent Crime | $228 | 126% |
| Victoria Hospice | $228 | 126% |
| Brand New Day | $254 | 140% |
| Prime Health Srvs | $261 - $2,037 | 144% |
| Coventry Auto Network | $273 | 151% |
| Prime Health Srvs/Wc | $273 | 151% |
| Interplan | $276 - $1,910 | 152% |
| County Of Orange/Custody/Advanced Medmgt | $284 | 157% |
| Coventry Wc | $284 | 157% |
| Veterans Evaluation Services | $285 | 157% |
| Multiplan | $298 - $1,782 | 164% |
| Three Rivers | $298 | 164% |
| Velocity National Provider Network Wc | $304 | 168% |
| Workers Comp State Of California | $304 | 168% |
| Staywell/Island Home Ins | $320 | 176% |
| Three Rivers Network | $400 | 221% |
| Velocity National Provider Network Ppo | $400 | 221% |
| Ihhi Reciprocity | $764 | 421% |
| Cigna | $1,317 - $1,655 | 726% |
| First Health | $1,337 | 737% |
| Aetna | $1,394 | 769% |
| Magellan | $1,528 | 843% |
| Networks By Design | $1,782 | 983% |
| Networks By Design Wc | $1,782 | 983% |
| Healthsmart | $1,910 | 1053% |
| Prime Health | $1,910 | 1053% |
| Pnoa-Provider Network Of America | $2,037 | 1123% |
| Prime Health Srvs/Network | $2,164 | 1193% |
| Lucet Behavioral Health 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% |
| Us Behavioral Health Plan | $2,546 | 1404% |
| Vitas Hospice | $2,546 | 1404% |