CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: HCA Florida South Tampa Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $174
Cash Discount Price: $938
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at HCA Florida South Tampa Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $938. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.96x the Medicare baseline. Located in 2901 W Swann Ave, Tampa, FL.

Cash / Self-Pay

$938

Average discount available for prompt cash payment at this facility.

Insurance Median

$174

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: $938 (517%)

Insurance Median: $174 (96%)

Cash: $938 (517% of Medicare)

Ins. Median: $174 (96% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$44	24%
Access 2 Healthcare Physicians Freedom Health	$68	37%
Access 2 Healthcare Physicians Optimum	$68	37%
Freedom Health Care	$73	40%
Optimum Healthcare	$73	40%
Avmed	$75 - $235	41%
Blue Cross Blue Shield	$79 - $190	44%
Truli	$82 - $115	45%
Simply Healthcare	$119 - $144	66%
Corvel Corporation	$134 - $248	74%
Rockport Healthcare Group	$134 - $248	74%
Prime Health	$137 - $253	76%
Oscar	$141	78%
Aetna	$149 - $281	82%
United	$154 - $422	85%
Cigna	$169	93%
Molina	$178 - $253	98%
Evolutions Healthcare Systems	$216 - $863	119%
Sunshine State Health Plan	$239	132%
Humana	$263	145%
Beacon Health Options	$469	259%
Plotkin Health	$469	259%
Prime Health Sheriff	$469	259%
Multiplan	$704 - $798	388%
Evernorth	$751	414%

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 $938.
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 HCA Florida South Tampa Hospital 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.