Psychiatric evaluation (first visit)
Facility: Labette Health
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $149
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.82x 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 |
|---|---|---|
| Blue Cross Blue Shield | $149 - $169 | 82% |
| Medicaid / KanCare | $149 | 82% |
| UnitedHealthcare | $149 | 82% |
| Humana | $149 | 82% |
| Wellcare | $149 | 82% |
| Kansas Superior Select | $153 | 84% |
| Ambetter / Centene | $171 | 94% |
| Montgomery County | $272 | 150% |
Consumer Guidance & Cost Commentary
For this psychiatric evaluation at Labette Health in Parsons, Kansas, the negotiated rates for in-network payers range from $149 to $272, with a median negotiated amount of $149. This facility, owned by the local government, charges significantly less than the highest county average of $272, which is charged by Montgomery County. While commercial insurance contracts often result in higher costs due to administrative overhead, patients with high-deductible plans may find that paying the cash price directly is more economical if the insurance allowed amount exceeds the cash rate. It is important to note that cash prices are not explicitly listed in this report, so patients should contact the facility directly to confirm self-pay or prompt-pay discounts before scheduling.
The Medicare benchmark for this service is $181.34, which serves as a reliable baseline for evaluating fair pricing since it reflects the true cost of care rather than inflated list charges. Commercial negotiated rates typically average between 200% and 300% of Medicare, though fair pricing is generally defined as 120% to 150% of this amount. Given that the median negotiated rate of $149 is below the Medicare benchmark, this facility appears to be pricing competitively relative to federal standards. To avoid unexpected costs, patients should request an itemized bill to verify that no unbundled codes or services not rendered have been charged, and they should dispute any balance bills immediately if they arise from out-of-network ancillary services, as federal protections like the No Surprises Act may apply.