Psychiatric evaluation (first visit)
Facility: Via Christi Hospital Wichita St Teresa, 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 |
|---|---|---|
| Vc Hope | $149 | 82% |
| Humana | $149 | 82% |
| Saint Lukes Health Systems | $149 | 82% |
| Va | $149 | 82% |
| Via Christi Research | $149 | 82% |
| Medicare (plans) | $149 - $152 | 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 the psychiatric evaluation (first visit) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $149 to $416 depending on your specific insurance plan. While many payers, including Vc Hope, Humana, and Saint Lukes Health Systems, have a consistent rate of $149, others like UnitedHealthcare and Aetna have significantly higher negotiated amounts of $416 and $385, respectively. It is important to note that the median negotiated rate across all payers is $150.00, which is lower than the facility's Medicare benchmark of $181.34. This suggests that for most in-network members, the contracted rate is already below the federal government's calculated cost baseline, though the variance between plans highlights the importance of verifying your specific coverage before scheduling.
Patients should be aware that cash-pay options may offer a lower total cost than using insurance, particularly if your plan has a high deductible or if the insurance negotiated rate exceeds the cash price. Although the facility's cash median and median paid amounts are not currently listed, the data indicates that prompt-pay discounts are available for upfront payments, which can bypass administrative fees and reduce the final bill by 20% to 50%. To secure the best possible price, we recommend contacting the hospital directly to confirm their self-pay or prompt-pay rates before check-in and requesting a waiver of insurance submission to avoid automatic claims processing. Additionally, since the facility is located in Wichita, KS (Zip 67235), ensure you are comparing these rates against local state averages to fully understand your financial obligations.