CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Marshall Browning Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $185
Cash Discount Price: $162
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Marshall Browning Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.02x the Medicare baseline. Located in 900 North Washington Street, Du Quoin, IL.

Cash / Self-Pay

$162

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $162 (89%)

Insurance Median: $185 (102%)

Cash: $162 (89% of Medicare)

Ins. Median: $185 (102% 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 - $565	67%
Blue Cross Blue Shield	$122 - $565	67%
Meridian Hp Mcaid - All Plans	$122 - $565	67%
Molina Mcaid - All Plans	$122 - $565	67%
Cigna	$129 - $172	71%
UnitedHealthcare	$135 - $278	74%
Health Alliance Mcr Adv	$137 - $278	76%
Wellcare Mcr Adv - All Plans	$137 - $278	76%
Humana	$138 - $278	76%
Healthlink Hmo - All Other Plans	$159 - $162	88%
Healthlink Ppo	$162 - $172	89%
Multiplan/Phcs - All Plans	$185 - $208	102%
Health Alliance - All Other Plans	$196 - $205	108%
Zelis - All Plans	$208	115%
Hope Trust - All Plans	$308 - $974	170%

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 $162.
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 Marshall Browning Hospital 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.