CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $303
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Hazel Hawkins Memorial Hospital is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.67x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

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%)
Insurance Median: $303 (167%)
Ins. Median: $303 (167% 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.

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
Blue Cross Blue Shield $77 - $184 42%
Blue Shield Mcare $77 42%
Caremore Med Adv - All Plans $77 42%
Kaiser Med Adv $77 42%
Central Hp Med Adv $81 45%
UnitedHealthcare $105 - $303 58%
Triwest - All Plans $172 95%
Tricare $178 98%
Kaiser Mcal $184 101%
Medi-Cal $184 101%
Valley Hp Mcal $184 101%
Valley Hp Covered Ca $212 117%
Valley Hp Preferred $212 117%
Kaiser Comm - All Other Plans $239 132%
Blue Shield Of Ca - All Other Plans $245 135%
Valley Hp Classic - All Other Plans $255 141%
Ccah Mcal - All Plans $294 162%
Beech Street Corp Ppo - All Plans $344 190%
Cigna $344 190%
Corvel Ppo - All Plans $344 190%
First Health Ppo - All Plans $344 190%
Great West Ppo - All Plans $344 190%
Nx Health Network - All Plans $344 190%
Interplan Ppo - All Plans $356 196%
Bce Emergis/Multi Ppo - All Plans $364 201%
Healthnet Hmo $364 201%
Healthnet Ppo - All Other Plans $364 201%
Metracomp Wc Ppo - All Plans $364 201%
One Hp Ppo - All Plans $364 201%
Admar Ppo - All Plans $368 203%
Pacific Hlth Alliance - All Plans $372 205%
Ccn Ppo - All Other Plans $384 212%
Choicecare Ppo/Hmo - All Plans $384 212%
Coastal Hlthcre Ppo/Hmo - All Plans $384 212%
Ccn (W/C) $404 223%
Central Coast Ppo - All Other Plans $404 223%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals