CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Adventist Health Tulare

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$188
about 1.0× the $181 Medicare rate · typically $155–$214
modeled estimate · not a bill or quote
What this hospital charges insurers
$162
Below the fair price — a good deal
about $26 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $188 This hospital $162 Cash price $69 Hospital's list price $362

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 $162

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 $188 (about 1.0× the $181 Medicare rate). Adventist Health Tulare charges insurers about $162, or about $69 in cash — below the fair price — a good deal. Located in Tulare, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $140 - $161 77%
Blue Cross Blue Shieldmajor $140 - $285 77%
Aetnamajor $165 91%
Cignamajor $153 84%
+ 6 smaller / regional plans $140 - $182
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals