Psychiatric evaluation (first visit)
Facility: Cottonwood Springs Llc
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $233
- Cash Discount Price: $800
- vs. Medicare Baseline: 1.28x 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 |
|---|---|---|
| First Health | $192 | 106% |
| Multiplan/Phcs/Beech Street | $204 | 112% |
| Compsych | $225 | 124% |
| Healthsmart | $240 | 132% |
| Provider Networks Of America | $255 | 141% |
| Velocity National Provider Network | $255 | 141% |
Consumer Guidance & Cost Commentary
For this psychiatric evaluation at Cottonwood Springs Llc in Olathe, KS, the facility's cash price of $300.00 is significantly higher than the state average, which is reflected in the cash median of $800.00. While the facility's negotiated rates with six payers range from $192 to $255, these amounts are still above the Medicare benchmark of $181.34, which serves as the objective baseline for evaluating pricing markups. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40%, meaning that for patients with high-deductible plans, paying the cash price directly might sometimes be more cost-effective than relying on insurance if the negotiated rate exceeds the cash price.
Patients should verify their specific plan details before scheduling, as assuming that being in-network guarantees the lowest possible price is a common pitfall; some in-network facilities charge substantially more than others for the same service. Additionally, many hospitals offer prompt-pay discounts, typically ranging from 20% to 50%, for patients who settle their bill in full upfront, which can bypass costly insurance billing cycles and administrative fees. If you receive a bill, always request a full itemized statement to identify any errors or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected through a formal written dispute sent to the billing supervisor.