Psychiatric evaluation (first visit)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $150
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.83x 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 |
|---|---|---|
| Medicare (plans) | $149 - $152 | 82% |
| Va | $149 | 82% |
| Saint Lukes Health Systems | $149 | 82% |
| Vc Hope | $149 | 82% |
| Humana | $149 | 82% |
| Via Christi Research | $149 | 82% |
| UnitedHealthcare | $152 - $416 | 84% |
| Blue Cross Blue Shield | $152 | 84% |
| Corizon | $186 | 103% |
| Smarthealth | $208 | 115% |
| Medicaid / KanCare | $253 | 140% |
| Aetna | $385 | 212% |
Consumer Guidance & Cost Commentary
For this psychiatric evaluation, the facility's negotiated rates range from $149 to $416, with a median of $150 across 12 payers. These commercial rates are significantly higher than the Medicare benchmark of $181.34, which serves as the federal baseline for healthcare costs. While many payers offer rates close to the Medicare amount, UnitedHealthcare's range extends up to $416, reflecting the variability in commercial contracts. It is important to note that cash-pay options are not listed for this service, so patients relying on high-deductible plans should be aware that paying out-of-pocket may not result in immediate savings compared to the negotiated insurance rates.
To minimize potential costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce administrative fees and improve cash flow for the facility. Additionally, since this is an in-network service at Ascension Via Christi Hospitals Wichita, Inc., balance billing for this specific procedure is prohibited under federal law, protecting patients from unexpected charges beyond their insurance allowed amount. For the most accurate pricing, we recommend verifying your specific plan's deductible status and requesting a detailed, itemized bill to ensure no errors or unbundled codes are included in the final charge.