CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Deaconess Henderson Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $136
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Deaconess Henderson Hospital is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.75x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $46 (25%)
Insurance Median: $136 (75%)
Cash: $46 (25% of Medicare)
Ins. Median: $136 (75% 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
Aetna $31 - $257 17%
Humana $31 - $140 17%
Medicaid / KanCare $31 - $164 17%
UnitedHealthcare $31 - $230 17%
Ky Racing Health & Welfare Fund $45 - $122 25%
Self-Pay $46 - $122 25%
Blue Cross Blue Shield $70 - $164 39%
Encircle/Encore Prime $78 - $217 43%
Iu Health Plans $79 - $257 44%
Encircle/Encore Combined $85 - $217 47%
Center Care Narrow $88 - $184 49%
Claimdoc $92 - $336 51%
Center Care Open Access $95 - $184 52%
Wellcare Ky $95 - $168 52%
Cigna $99 - $210 55%
Healthlink $116 - $257 64%
Wellcare Il $122 - $140 67%
Coventry National Network $123 - $280 68%
Webster County Detention Center $123 - $280 68%
First Health Network (Coventry) $131 - $257 72%
Medicare (plans) $136 - $140 75%
Mhs Mco $136 - $140 75%
Molina Healthcare Of Ky $136 - $140 75%
Molina Healthcare Of Ky - Exchange $136 - $140 75%
Mytru Advantage $136 - $140 75%
Sagamore $136 - $257 75%
Umwa $136 - $140 75%
Henderson County Detention Center $139 - $315 77%
Phcs/Multiplan $139 - $257 77%
Caresource In $164 90%
Caresource In Marketplace $177 - $210 98%
Wellcare Ky Commercial Exchange $177 - $287 98%
Alliance Coal $188 - $210 104%
Amish And Mennonite Of Western Ky $210 - $228 116%
Hopetrust $210 - $336 116%
Hstechnology $210 - $336 116%
Noncontracted $218 - $224 120%
One Care $308 170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals