CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Atrium Health Floyd Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$173

about 1.0× the $181 Medicare rate · typically $158–$173

modeled estimate · not a bill or quote

What this hospital charges insurers

$158

About the fair price

about $15 under the fair price · 0.9× Medicare

Medicare pays $181 Fair price $173 This hospital $158 Cash price $92 Hospital's list price $184

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

One of the lower prices — 6 of 8 other GA hospitals charge more for the same procedure.

Cheapest $101 Priciest $177

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $173 (about 1.0× the $181 Medicare rate). Atrium Health Floyd Medical Center charges insurers about $158, or about $92 in cash — about the fair price. Located in Rome, GA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$138 - $157	76%
Blue Cross Blue Shieldmajor	$129 - $157	71%
Aetnamajor	$118 - $158	65%
Cignamajor	$98 - $157	54%
Humanamajor	$120 - $157	66%
Ambetter (Centene)	$235	130%
Amerigroup	$31	17%
CareSource	$31 - $235	17%
Clover Health	$161	89%
Oscar Health	$36 - $64	20%
WellCare	$160	88%
+ 7 smaller / regional plans	$36 - $235

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 92), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Atrium Health Floyd Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Atrium Health Floyd Medical Center

Compare: Psychiatric evaluation (first visit) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.