Psychiatric evaluation (first visit)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $151
- 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% |
| Medicare (plans) | $149 - $152 | 82% |
| Humana | $149 | 82% |
| Va | $149 | 82% |
| Blue Cross Blue Shield | $152 | 84% |
| UnitedHealthcare | $152 - $416 | 84% |
| Smarthealth | $208 | 115% |
| Medicaid / KanCare | $253 | 140% |
| Aetna | $346 - $385 | 191% |
Consumer Guidance & Cost Commentary
For the psychiatric evaluation (first visit) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $149 to $416 depending on the insurance carrier. While the median negotiated amount across payers is $151, the highest allowed rate for UnitedHealthcare is $416, which significantly exceeds the state average. It is important to note that cash-pay options are not listed for this service, meaning patients without insurance coverage should verify if the facility offers a self-pay or prompt-pay discount before scheduling. Commercial insurance contracts often include administrative overhead that inflates the baseline price by 20% to 40%, so patients should be aware that their in-network rate may not represent the lowest possible cost for the procedure.
When evaluating the financial impact of this service, it is helpful to compare the facility's pricing against the Medicare benchmark, which serves as the objective baseline for healthcare delivery costs. The Medicare amount for this code is $181.34, and the facility's median negotiated rate of $151 is lower than the Medicare benchmark, indicating a rate that aligns with fair pricing standards rather than the typical commercial markup of 200% to 300% often seen in the industry. However, because the facility is a Part A provider, patients should confirm their specific plan details to ensure they are not subject to balance billing, as federal protections under the No Surprises Act generally prevent out-of-network providers at in-network facilities from charging patients for the difference between their allowed amount and the full chargemaster rate.