Psychiatric evaluation (first visit)
Facility: Saint Alphonsus Regional Medical Center
Billing Code: 90791 (CPT)
This hospital's typical commercial price is $140 compared to the $166 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.84× fair market pricing.
Lowest price of the 9 ID hospitals we have prices for — a strong deal.
Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.
A fair price for a Psychiatric evaluation (first visit) is about $166 (about 0.9× the $181 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $140, or about $258 in cash — below the fair price — a good deal. Located in Boise, ID.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $98 - $241 | 54% |
| Blue Cross Blue Shieldmajor | $98 - $502 | 54% |
| Aetnamajor | $98 - $286 | 54% |
| Cignamajor | $98 - $272 | 54% |
| Humanamajor | $98 - $302 | 54% |
| Kaiser Permanentemajor | $257 - $311 | 142% |
| Ambetter (Centene) | $98 | 54% |
| Clover Health | $134 | 74% |
| Dean Health Plan | $174 - $301 | 96% |
| GEHA | $174 - $241 | 96% |
| Health Net | $98 - $286 | 54% |
| HealthPartners | $98 | 54% |
| Meridian | $98 - $134 | 54% |
| Moda Health | $174 - $352 | 96% |
| Molina | $98 - $266 | 54% |
| PacificSource | $130 - $282 | 72% |
| Paramount | $98 - $301 | 54% |
| Presbyterian | $98 - $134 | 54% |
| SelectHealth | $174 - $333 | 96% |
| Tufts Health Plan | $98 | 54% |
| WellMed | $134 | 74% |
| WellSense | $98 | 54% |
| + 367 smaller / regional plans | $83 - $502 |
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 Saint Alphonsus Regional Medical Center
Compare: Psychiatric evaluation (first visit) at other ID hospitals
- West Valley Medical Center · Caldwell $146
- Eastern Idaho Regional Medical Center · Idaho Falls $146
- Kootenai Health · Coeur D'Alene $154
- Clearwater Valley Hospital & Clinics · Orofino $169
- Saint Alphonsus Medical Center - Nampa · Nampa $175
- St Mary's Hospital · Cottonwood $181
- St Luke's Wood River Medical Center · Ketchum $321
- Lost Rivers Medical Center · Arco $326
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Alphonsus Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $106
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 = $106).
Self-Pay Cash Rate ($258) Beats Your Bill
Saint Alphonsus Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $258 (vs. $140 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $166 Fair BaseRate ($181 Medicare)
Your bill ($292) is $126 above the denoised Fair BaseRate ($166) and 1.6× 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.