Psychiatric evaluation (first visit)
Facility: Overland Park Reg Med Ctr
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $156
- Cash Discount Price: $458
- vs. Medicare Baseline: 0.86x 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 | $60 - $197 | 33% |
| Ambetter / Centene | $85 | 47% |
| Oscar | $87 | 48% |
| Nhc Advantage | $87 | 48% |
| Healthyblue | $92 | 51% |
| Wppa Providrs Care Network | $92 | 51% |
| Cigna | $114 - $169 | 63% |
| United | $115 - $206 | 63% |
| Aetna | $138 - $234 | 76% |
| Home State Health Plan | $144 | 79% |
| Universal Healthcare | $160 | 88% |
| Coventry | $184 | 101% |
| Coventry Kc Mo | $188 | 104% |
| College Park Family Care Center | $197 | 109% |
| Oha Network | $229 | 126% |
| Multiplan | $243 - $367 | 134% |
| Corvel Corporation | $298 | 164% |
| Cco, Inc. | $344 | 190% |
| Triwest Health Alliance | $344 | 190% |
| Focus Healthcare Mgmt, Inc | $344 | 190% |
Consumer Guidance & Cost Commentary
For this psychiatric evaluation at Overland Park Reg Med Ctr, the cash price is $458.00, which matches the facility's cash median. While the facility's negotiated rates with insurance plans range from $60 to $367, the cash price is notably lower than the highest negotiated amounts found for this service. Specifically, the cash rate is lower than the negotiated rates for United ($115–$206), Aetna ($138–$234), and Multiplan ($243–$367). Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $458.00 rate is lower than the maximum negotiated amounts for several major payers. However, patients should verify their specific plan's deductible status and allowed amounts before deciding, as some insurance plans may cover a portion of the service even if the cash price is lower.
To ensure you are receiving the most accurate billing information, it is recommended to request an itemized bill before paying, as summary bills can obscure individual charges. If you choose to pay out-of-network or encounter unexpected charges, the No Surprises Act provides protections against balance billing for emergency care and non-emergency services at in-network facilities. Additionally, you may be eligible for a prompt-pay discount if you pay your bill in full upfront, which can reduce the total cost by 20% to 50%. Always ask the billing department about self-pay rates and prompt-pay options prior to scheduling your appointment to avoid surprise costs.