Psychiatric evaluation (first visit)
Facility: University Of Kansas Hospital
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $276
- Cash Discount Price: $86
- vs. Medicare Baseline: 1.52x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Larned State Hospital [503200090] | $115 - $137 | 63% |
| Hchsync Centrus Health Direct [503999916] | $117 - $163 | 65% |
| National Assn Letter Carriers [503200019] | $125 | 69% |
| Cigna | $125 - $295 | 69% |
| Blue Cross Blue Shield | $150 - $357 | 83% |
| Alt Theramatrix [5032000967] | $161 - $192 | 89% |
| Health Plan Inc [503999941] | $183 - $219 | 101% |
| Tricare | $195 - $232 | 108% |
| Accarent Health [503999034] | $195 - $232 | 108% |
| Humana | $195 - $232 | 108% |
| Alt Carelon Behavioral Health [503200905] | $195 - $232 | 108% |
| Meritain Health [503200039] | $201 - $391 | 111% |
| Coventry [503200022] | $201 - $315 | 111% |
| Aetna | $201 - $315 | 111% |
| Coresource [503200089] | $201 - $240 | 111% |
| Workers Comp [503999901] | $203 - $442 | 112% |
| Php [503200005] | $234 - $344 | 129% |
| Allied National [503999937] | $234 - $279 | 129% |
| Healthlink [503200007] | $236 - $344 | 130% |
| Inter-Americas Insurance [503999032] | $236 - $282 | 130% |
| Med-Pay [503200040] | $236 - $282 | 130% |
| Alt Wppa [5032000964] | $236 - $282 | 130% |
| Geha [503200036] | $236 - $282 | 130% |
| Cerner [503200038] | $236 - $282 | 130% |
| Mh Net [503999024] | $238 - $284 | 131% |
| Alt Coventry Advantra Mhnet [50311260] | $238 - $284 | 131% |
| Alt Coventry Mhnet [503200030] | $238 - $284 | 131% |
| Aha-Healthcare Preferred [503200050] | $257 - $306 | 142% |
| First Health [5032000110] | $257 - $306 | 142% |
| Alt Meritain Health [503999911] | $264 - $315 | 146% |
| Ascension Living Hope [503201517] | $273 - $326 | 151% |
| Coeur Plan Services [503301517] | $273 - $326 | 151% |
| Consolidated Billing [50311256] | $273 - $326 | 151% |
| Correct Care Solutions [50311253] | $273 - $326 | 151% |
| Orscheln Industries [503201608] | $292 - $349 | 161% |
| Alt Lineco [5032000976] | $299 - $357 | 165% |
| Empire Plan/Nyship [503200705] | $299 - $357 | 165% |
| Alt Lucent Health Solutions [503202603] | $299 - $357 | 165% |
| Point Comfort Underwriters [503200018] | $312 - $372 | 172% |
| Triwest [503201703] | $312 - $372 | 172% |
| Quiktrip [5032000412] | $312 - $372 | 172% |
| Century Health Solutions [503200054] | $312 - $372 | 172% |
| Wppa [503200056] | $328 - $391 | 181% |
| Employers Health Network [503999025] | $351 - $418 | 194% |
| Plan Care America [503999026] | $351 - $418 | 194% |
| Usa Managed Care [503999030] | $351 - $418 | 194% |
| Sanford Health Plan [503999027] | $351 - $418 | 194% |
| Three Rivers Provider Network [503999029] | $351 - $418 | 194% |
Consumer Guidance & Cost Commentary
For the psychiatric evaluation (first visit) at University Of Kansas Hospital, the facility's cash price of $86.00 is significantly lower than the median negotiated rate of $247.00 paid by insurance payers. While the hospital is a government-owned acute care facility in Kansas City, KS, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rates exceed this amount. It is important to note that commercial rates often include administrative overhead and contract markups that can inflate the baseline price by 20% to 40%, making the direct cash price a strong benchmark for self-pay patients.
Patients should verify their specific plan details before scheduling, as insurance companies negotiate different rates that can vary widely across the 48 payers listed for this service. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is crucial to confirm that all ancillary services, such as laboratory tests or emergency physician visits, are also covered under the plan. To minimize costs, individuals should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer a fee reduction of 20% to 50% for upfront payment, effectively bypassing the costly claims processing cycle associated with insurance billing.