CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Gibson General Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $178
Cash Discount Price: $123
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Gibson General Hospital is $178. 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 0.98x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$178

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: $178 (98%)

Cash: $123 (68% of Medicare)

Ins. Median: $178 (98% 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
Blue Cross Blue Shield	$122 - $180	67%
Ky Racing Health & Welfare Fund	$122	67%
Medicaid / KanCare	$122	67%
Meridiancare (Il)	$122	67%
Meridianhealth (Il)	$122	67%
Self-Pay	$122	67%
Aetna	$140 - $257	77%
Caresource Just For Me	$140	77%
Medicare (plans)	$140	77%
Meridiancomplete (Il)	$140	77%
Mytruadvantage	$140	77%
UnitedHealthcare	$140 - $230	77%
Va Ccn	$140	77%
Caresource	$164	90%
Mdwise Plans	$164	90%
Mhs	$164	90%
Ambetter / Centene	$175	97%
Caresource In Marketplace	$182	100%
Alliance Coal	$196	108%
Claimdoc	$196	108%
Deaconess Onecare	$210 - $344	116%
Hopetrust	$210	116%
Hstechnology	$210	116%
Chambercare	$217	120%
Encircle/Encore Combined	$217	120%
Encircle/Encore Prime	$217	120%
Noncontracted	$224	124%
Cigna	$257	142%
First Health	$257	142%
Healthlink Hmo	$257	142%
Healthlink Ppo	$257	142%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+)	$257	142%
Gibson County Sheriff	$298	164%
Integrated Health	$315	174%
Principal Health Care	$315	174%

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 Gibson General 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.