CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $212
  • Cash Discount Price: $269
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Satanta District Hospital, Clinics, & Ltcu is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $269. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.17x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$269

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $269 (148%)
Insurance Median: $212 (117%)
Cash: $269 (148% of Medicare)
Ins. Median: $212 (117% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Direct Benefit-All Plans $64 - $80 35%
UnitedHealthcare $77 - $332 42%
Berkley Net-All Plans $106 - $133 58%
Aetna $117 - $226 65%
Trustmark Health Benefits-All Plans $117 - $146 65%
Meritain Health-All Plans $119 - $149 66%
Ambetter / Centene $127 - $159 70%
Axa Equitable - All Plans $146 - $183 81%
Pinnacol-All Plans $148 - $186 82%
Medi-Share-All Plans $151 - $189 83%
Presbyterian-All Plans $162 - $203 89%
Kasb Work Comp - All Plans $170 - $212 94%
The Kempton Group Admin-All Plans $183 - $229 101%
Gpha(Wppa)-All Other Plans $186 - $232 103%
Auxiant - All Plans $186 - $232 103%
Wppa- All Plans $188 - $236 104%
Providers Care Network- All Plans $191 - $239 105%
Emc-All Plans $191 - $239 105%
Sisco-All Plans $191 - $239 105%
Gpha Employee Benefit Plan $193 - $242 106%
Regional Care(Wppa)-All Plans $199 - $249 110%
Employee Benefit-All Plans $199 - $249 110%
First Health -All Plans $201 - $252 111%
Triangle-All Plans $201 - $252 111%
One Call Physician-All Plans $204 - $256 112%
Blue Cross Blue Shield $209 - $262 115%
Tricare $212 - $266 117%
Christian Hospital Aid - All Plans $212 - $266 117%
Humana $228 - $286 126%
Luminare Health- All Plans $233 - $292 128%
Cigna $233 - $292 128%
Coresource-All Plans $238 - $299 131%
Deseret Mutual(Uhis)-All Plans $238 - $299 131%
Vaccn-All Plans $244 - $305 135%
Hma Llc-All Plans $252 - $315 139%
Reserve National-All Plans $252 - $315 139%
Wps Vapc-All Plans $252 - $315 139%
Medicaid / KanCare $265 - $332 146%

Consumer Guidance & Cost Commentary

For this psychiatric evaluation service at Satanta District Hospital, the cash price of $269 is lower than the facility's gross charge of $299 but higher than the median negotiated rate of $212 paid by insurance plans. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average benchmarks for comparison. However, it is important to note that commercial insurance rates often exceed cash prices due to administrative costs and contract structures; therefore, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, which could result in higher out-of-pocket expenses if the deductible is not met.

Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, unexpected charges can still occur if ancillary services like labs or emergency physicians are out-of-network. To avoid these surprises, consumers should request a full itemized bill before paying, as summary bills often hide unbundled codes or services not rendered. Additionally, asking the hospital about "self-pay" or "prompt-pay" discounts before scheduling can significantly reduce the final amount owed, as these upfront payment incentives bypass the costly insurance claims process and often result in a lower total than the standard cash price listed.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals