CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Coalinga Regional Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$170
about 0.9× the $181 Medicare rate · typically $144–$274
modeled estimate · not a bill or quote
What this hospital charges insurers
$184
About the fair price
about $14 over the fair price · 1.0× Medicare
Medicare pays $181 Fair price $170 This hospital $184 Cash price $128 Hospital's list price $213

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 $184

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 $170 (about 0.9× the $181 Medicare rate). Coalinga Regional Medical Center charges insurers about $184, or about $128 in cash — about the fair price. Located in Coalinga, CA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $43 - $184 24%
Aetnamajor $181 100%
Cignamajor $149 82%
Health Net $43 - $184 24%
+ 1 smaller / regional plan $55
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1191 Phelps Avenue, Coalinga, CA 93210
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals