CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Valor Health

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$165

about 0.9× the $181 Medicare rate · typically $136–$351

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $165 Cash price $331 Hospital's list price $349

How we calculate the fair BaseRate →

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	$56 - $322	31%
Blue Cross Blue Shieldmajor	$56 - $364	31%
Aetnamajor	$56 - $291	31%
Cignamajor	$108 - $322	60%
Humanamajor	$56 - $342	31%
Moda Health	$114 - $331	63%
Molina	$56 - $164	31%
PacificSource	$59 - $331	33%
SelectHealth	$114 - $331	63%

Government programs also on file: Military & VA.

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 331), 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 Valor Health 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 Valor Health

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

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