Psychiatric evaluation (first visit)
Facility: Menorah Medical Center
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $140
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.77x 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 |
|---|---|---|
| United | $137 | 76% |
| Home State Health Plan | $144 | 79% |
Consumer Guidance & Cost Commentary
For a psychiatric evaluation at Menorah Medical Center in Overland Park, KS, the facility's negotiated rates with United and Home State Health Plan range from $137 to $144, which aligns closely with the state average of $140.00. While commercial insurance contracts often include administrative overhead that can inflate costs, this specific service does not show a significant markup compared to the regional benchmark. For patients with high-deductible plans, it is worth noting that cash-pay rates can sometimes be lower than the insurance negotiated amount; however, since the cash median is not available for this code, patients should verify current self-pay or prompt-pay discounts directly with the hospital before scheduling to ensure they are not paying more than necessary.
The facility's pricing is also contextualized by the Medicare benchmark, which stands at $181.34 for this procedure. Although the commercial negotiated rates are slightly below the Medicare amount, this comparison highlights that commercial contracts do not always represent the highest cost, as some facilities charge significantly more than the federal baseline. To avoid unexpected balance billing, patients should be aware that the No Surprises Act generally protects against surprise charges for out-of-network providers at in-network facilities, though it is crucial to request an itemized bill to confirm all services rendered. If a discrepancy arises, patients should dispute any balance billing in writing rather than accepting summary invoices, ensuring they are only responsible for the contracted or cash rate rather than the full chargemaster price.