CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Deaconess Illinois Crossroads

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $167
Cash Discount Price: $123
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Deaconess Illinois Crossroads is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.92x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $123 (68%)

Insurance Median: $167 (92%)

Cash: $123 (68% of Medicare)

Ins. Median: $167 (92% 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
Aetna	$122 - $276	67%
Blue Cross Blue Shield	$122 - $222	67%
Meridian Health Plan	$122 - $167	67%
Molina Healthcare Of Illinois	$122 - $169	67%
Self-Pay	$122	67%
Wellcare	$122 - $167	67%
Cigna	$136	75%
Humana	$139 - $273	77%
Mytru Advantage	$139 - $167	77%
Umwa	$139 - $167	77%
UnitedHealthcare	$139 - $167	77%
Healthlink	$159 - $172	88%
Care Improvement Plus	$171	94%
Alliance Coal	$192 - $276	106%
Deaconess Onecare	$209	115%
Alter-Net Medical Services, Inc.	$223 - $477	123%
Noncontracted	$223 - $268	123%
Prime Health Services	$262	144%
Guardian Resources, Inc.	$294	162%
Healthcare'S Finest Network (Hfn)	$298	164%
Medicalcontrol Network Solutions	$298	164%
National Provider Network	$298	164%
Three Rivers Provider Network	$304	168%
Beech Street	$308	170%
Hope Trust	$477	263%

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 $123.
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 Deaconess Illinois Crossroads 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.