Psychiatric evaluation (first visit)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $212
- Cash Discount Price: $269
- vs. Medicare Baseline: 1.17x 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 |
|---|---|---|
| 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.