CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Larkin Community Hospital Behavioral Health Srvs

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $275
Cash Discount Price: $294
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Larkin Community Hospital Behavioral Health Srvs is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.52x the Medicare baseline. Located in 1201 N 37Th Ave, Hollywood, FL.

Cash / Self-Pay

$294

Average discount available for prompt cash payment at this facility.

Insurance Median

$275

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: $294 (162%)

Insurance Median: $275 (152%)

Cash: $294 (162% of Medicare)

Ins. Median: $275 (152% 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
Humana	$50	28%
Concordia Behav Health - All Plans	$60	33%
Wellcare Of Fl-All Plans	$65	36%
Clear Spring Health-All Plans	$153 - $588	84%
Bright Hlth Mcr Adv	$161	89%
Community Care Plan-All Plans	$162 - $275	89%
Medicaid / KanCare	$162 - $275	89%
Miami Childrens Hp-All Plans	$162 - $275	89%
Sunshine Behav Mcaid	$162 - $275	89%
Magellan Healthcare-All Plans	$165 - $358	91%
Bright Hlth Comm - All Other Plans	$169	93%
Cigna	$192 - $418	106%
Longevity Mcr Adv-All Plans	$258 - $560	142%
Sunshine Behav Comm - All Other Plans	$258 - $560	142%
Aetna	$275 - $597	152%
Hma Mcr Adv	$297 - $644	164%

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 $294.
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 Larkin Community Hospital Behavioral Health Srvs 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.