CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Oakdale Community Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $320
Cash Discount Price: $110
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Oakdale Community Hospital is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.76x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.

Cash / Self-Pay

$110

Average discount available for prompt cash payment at this facility.

Insurance Median

$320

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: $110 (61%)

Insurance Median: $320 (176%)

Cash: $110 (61% of Medicare)

Ins. Median: $320 (176% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amfirst	$110	61%
Self Pay	$110	61%
Aetna	$122 - $309	67%
Medicaid / KanCare	$122	67%
UnitedHealthcare	$122	67%
Humana	$134 - $346	74%
Meritain	$142 - $309	78%
Blue Cross Blue Shield	$216	119%
Web-Tpa	$275	152%
Cigna	$300 - $310	165%
Ima	$330 - $550	182%
Ppo Plus	$330	182%
Wc Gulf South Risk Srvcs	$495	273%
Wc Martco	$495	273%
Wc Misc	$495	273%
Wc Risk Mgmnt-Baton Rouge	$495	273%
Wc Sedwick Workmans Comp	$495	273%
Wc Us Department Of Labor	$495	273%
American Public Life	$550	303%
American Retirement Life	$550	303%
Apwu	$550	303%
Auto Liability	$550	303%
Bankers Life	$550	303%
Correct Care	$550	303%
Fox Everitt	$550	303%
Mailhandlers Benefit Plan	$550	303%
Medishare	$550	303%
Medplus	$550	303%
Misc Commerical	$550	303%
Phcs	$550	303%
Physicians Mutual	$550	303%
State Farm-La	$550	303%
Triwest	$550	303%
Us Family Health Plan	$550	303%
Usaa	$550	303%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $110.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oakdale Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.