Psychiatric evaluation (first visit)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $149
- Cash Discount Price: $86
- 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 |
|---|---|---|
| Tricare | $110 | 61% |
| UnitedHealthcare | $136 - $416 | 75% |
| Medicaid / KanCare | $141 - $143 | 78% |
| Aetna | $141 | 78% |
| Va | $149 | 82% |
| Humana | $149 - $150 | 82% |
| Medicare (plans) | $149 - $152 | 82% |
| Blue Cross Blue Shield | $183 - $193 | 101% |
| Smarthealth | $208 | 115% |
| Providrs Care | $218 | 120% |
| Ambetter / Centene | $253 | 140% |
Consumer Guidance & Cost Commentary
For a psychiatric evaluation (first visit) at Ascension Via Christi Hospital Manhattan, Inc, the facility's cash median price is $86.00, which is significantly lower than the negotiated rates charged by most insurance payers. While the facility's negotiated average is $149.00, commercial plans such as UnitedHealthcare and Blue Cross Blue Shield have negotiated rates ranging from $136 to $253, often exceeding the cash price. This pricing structure suggests that patients with high-deductible plans or those without insurance may save money by paying the cash rate directly, provided they can secure a self-pay or prompt-pay discount before scheduling. It is important to verify with the hospital that paying cash upfront avoids automatic claims submission, which could otherwise void any cash discount and trigger balance billing if the patient has uncovered insurance coverage.
The facility's pricing is benchmarked against the Medicare rate of $181.34, which serves as a scientifically validated baseline for healthcare costs in this region. The commercial negotiated rates observed here, particularly the higher end of the spectrum for some payers, reflect the administrative overhead and contract dynamics that often inflate prices beyond the true cost of care. To ensure you are receiving fair pricing, it is recommended to request an itemized billing audit before finalizing payment, as summary bills can obscure individual charges and potential errors. Additionally, since the facility is a voluntary non-profit in Kansas, patients should proactively inquire about prompt-pay discounts or self-pay reductions, as these upfront fee reductions can bypass the costly insurance claims cycle and result in immediate savings.