CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Glenn Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $181
Cash Discount Price: $121
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Glenn Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 1133 W Sycamore St, Willows, CA.

Cash / Self-Pay

$121

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

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: $121 (67%)

Insurance Median: $181 (100%)

Cash: $121 (67% of Medicare)

Ins. Median: $181 (100% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$60 - $286	33%
Humana	$78 - $268	43%
Blue Cross Blue Shield	$79 - $321	44%
Blue Shield Exch	$162 - $289	89%
Cigna	$170 - $303	94%
First Health - All Plans	$170 - $303	94%
Healthnet - All Plans	$170 - $303	94%
Beech Street - All Plans	$180 - $321	99%
Blue Shield Ppo/Hmo - All Other Plans	$180 - $321	99%
Dept Of Corrections - All Plans	$180 - $321	99%
Galaxy Health Network - All Plans	$180 - $321	99%
Interplan - All Plans	$180 - $321	99%
Pacific Health Alliance - All Plans	$180 - $321	99%
Pponext - All Plans	$180 - $321	99%
Superior Ca Ppo - All Plans	$180 - $321	99%
Medi-Cal	$184	101%
Integrated Hp - All Plans	$186 - $332	103%
Health Mgmt Network - All Plans	$190 - $339	105%
Networks By Design - All Plans	$190 - $339	105%
Three Rivers - All Plans	$190 - $339	105%
Ca Health And Wellness - All Plans	$200 - $204	110%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $121.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Glenn Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.