Psychiatric evaluation (first visit)
Facility: Lindsborg Community Hospital
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $235
- Cash Discount Price: $180
- vs. Medicare Baseline: 1.30x 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 | $38 | 21% |
| Tricare | $121 | 67% |
| Coventry Mcr Adv | $122 | 67% |
| Cigna | $218 | 120% |
| Coventry Comm-All Other Plans | $231 | 127% |
| UnitedHealthcare | $231 | 127% |
| Multiplan-All Plans | $239 | 132% |
| Phcs Preferred-All Plans | $239 | 132% |
| Wppa-All Plans | $244 | 135% |
| Health Partners -All Plans | $244 | 135% |
| Century Health-All Plans | $244 | 135% |
| Coventry Wc | $244 | 135% |
Consumer Guidance & Cost Commentary
For a psychiatric evaluation (first visit) at Lindsborg Community Hospital in Lindsborg, KS, the cash price is $180.00, which is lower than the facility's negotiated rate of $239.00 and the median negotiated rate of $235.00 across payers. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that insurance negotiated rates often exceed cash prices due to administrative costs and contract dynamics. If you have a high-deductible plan, paying the cash price of $180.00 upfront may result in significant savings compared to your insurance paying the negotiated rate of $239.00, especially if your deductible has not yet been met. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling your visit.
The facility's billing practices align with standard industry benchmarks, where commercial rates frequently run higher than the Medicare amount of $181.34. In this case, the cash price of $180.00 is nearly identical to the Medicare rate, suggesting a transparent pricing model that avoids the common pitfall of charging significantly above federal standards. However, patients should remain vigilant regarding balance billing, particularly if receiving out-of-network ancillary services like emergency care or specific lab tests, as the No Surprises Act protects against unexpected bills for these scenarios. To ensure accuracy, always request a full itemized bill before payment to verify that no unbundled codes or services not rendered have been included, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute.