CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Uch-Memorial Health System

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $268
  • Cash Discount Price: $295
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Uch-Memorial Health System is $268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.48x the Medicare baseline. Located in 1400 E Boulder St, Colorado Springs, CO.
Cash / Self-Pay
$295

Average discount available for prompt cash payment at this facility.

Insurance Median
$268

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: $295 (163%)
Insurance Median: $268 (148%)
Cash: $295 (163% of Medicare)
Ins. Median: $268 (148% 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 $124 - $286 68%
Kaiser Public Option $129 - $174 71%
Aetna $161 - $386 89%
Cigna $161 - $372 89%
Cms $161 89%
Devoted Health $161 89%
Humana $161 89%
Kaiser $161 - $254 89%
Select Health $161 - $459 89%
UnitedHealthcare $161 - $329 89%
Kaiser Kp Select $170 - $229 94%
Simplified Benefits Administration $179 - $294 99%
Denver Health Medical Plan $279 - $376 154%
Rocky Mountain Health Plan $301 - $407 166%
First Health $329 - $444 181%
Multiplan $396 - $535 218%
Phcs $396 - $535 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 E Boulder St, Colorado Springs, CO 80909
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals