Psychiatric evaluation (first visit)
Facility: Halifax Health Medical Center
Billing Code: 90791 (CPT)
This hospital's typical commercial price is $161 compared to the $175 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.92× fair market pricing.
One of the lower prices — 3 of 8 other FL hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.
A fair price for a Psychiatric evaluation (first visit) is about $175 (about 1.0× the $181 Medicare rate). Halifax Health Medical Center charges insurers about $161, or about $128 in cash — about the fair price. Located in Daytona Beach, FL.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $150 - $192 | 83% |
| Blue Cross Blue Shieldmajor | $125 - $161 | 69% |
| Aetnamajor | $149 - $330 | 82% |
| Cignamajor | $161 | 89% |
| Humanamajor | $154 - $321 | 85% |
| AvMed | $147 - $160 | 81% |
| CareSource | $169 | 93% |
| Devoted Health | $168 | 93% |
| Health Net | $323 | 178% |
| Molina | $154 - $164 | 85% |
| Oscar Health | $192 | 106% |
| Simply Healthcare | $162 | 89% |
| WellCare | $161 | 89% |
| + 24 smaller / regional plans | $109 - $363 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Halifax Health Medical Center
Compare: Psychiatric evaluation (first visit) at other FL hospitals
- Holy Cross Hospital · Ft Lauderdale $135
- Larkin Community Hospital Palm Springs Campus · Hialeah $146
- Cleveland Clinic Martin North Hospital · Stuart $161
- Cleveland Clinic Indian River Hospital · Vero Beach $161
- Lakeside Medical Center · Belle Glade $161
- Jay Hospital · Jay $162
- Gulf Breeze Hospital · Gulf Breeze $163
- Sacred Heart Hospital on the Emerald Coast · Miramar Beach $163
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Halifax Health Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $116
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $116).
Self-Pay Cash Rate ($128) Beats Your Bill
Halifax Health Medical Center's published 45 CFR § 180 self-pay cash rate is $128 (vs. $161 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $175 Fair BaseRate ($181 Medicare)
Your bill ($320) is $145 above the denoised Fair BaseRate ($175) and 1.8× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.