CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Claiborne Memorial Medical Center
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $275
- Cash Discount Price: $275
- vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Claiborne Memorial Medical Center is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.52x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$275
Average discount available for prompt cash payment at this facility.
Insurance Median
$275
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: $275 (152%)
Insurance Median: $275 (152%)
Cash: $275 (152% of Medicare)
Ins. Median: $275 (152% 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
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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 | $103 - $179 | 57% |
| Amerihealth Caritas La | $103 - $118 | 57% |
| Community Health Solution | $103 - $118 | 57% |
| Correctcare Intergrated | $103 - $118 | 57% |
| Healthy Blue | $103 - $118 | 57% |
| Humana | $103 - $275 | 57% |
| Louisiana Hc Connections | $103 - $118 | 57% |
| Magellan Services | $103 - $118 | 57% |
| Medicaid / KanCare | $103 - $118 | 57% |
| UnitedHealthcare | $103 - $118 | 57% |
| Commercial Insurance | $110 - $275 | 61% |
| Meritain Health | $110 - $179 | 61% |
| Coventry Healthcare | $165 | 91% |
| Geha | $192 | 106% |
| Health Plus Of La | $192 - $206 | 106% |
| Apwu Healthplan | $206 | 114% |
| Cigna | $206 | 114% |
| Great West Healthcare | $206 | 114% |
| Phcs | $220 | 121% |
| Ppo Plus | $220 | 121% |
| Sedgwick Claims Mgmt Serv | $248 | 137% |
| Workman'S Comp | $248 | 137% |
| Aarp | $275 | 152% |
| Accordia National | $275 | 152% |
| Aflac | $275 | 152% |
| Alameda Alliance Forhealt | $275 | 152% |
| American Pioneer | $275 | 152% |
| Benefit Management | $275 | 152% |
| Benesys Inc | $275 | 152% |
| Business Guarantor | $275 | 152% |
| Chubb | $275 | 152% |
| Commercial Sr. Care | $275 | 152% |
| Employee Benefit Services | $275 | 152% |
| Family Life Insurance Co | $275 | 152% |
| Farm Bureau Insurance | $275 | 152% |
| Fiserv Health Benefit | $275 | 152% |
| Gmp | $275 | 152% |
| Group And Pension Admin | $275 | 152% |
| Group Resources | $275 | 152% |
| Haik Minvielle And Grubbs | $275 | 152% |
| Harrington Benefit Svs | $275 | 152% |
| Health Design Plus | $275 | 152% |
| Health Plan | $275 | 152% |
| Healthscope Benefits | $275 | 152% |
| Insurance Management Admi | $275 | 152% |
| Jefferson National | $275 | 152% |
| John Alden Health Ins | $275 | 152% |
| John Hancock | $275 | 152% |
| Liberty Mutual | $275 | 152% |
| Mailhandlers Benefit Plan | $275 | 152% |
| Manhattan Life Ins Co | $275 | 152% |
| Mega Life And Health | $275 | 152% |
| Msa Careguard | $275 | 152% |
| Mutual Of Omaha | $275 | 152% |
| Nalc Health Benefit Plan | $275 | 152% |
| Naphcare Inc. | $275 | 152% |
| New Era Life Ins Co | $275 | 152% |
| Physicians Mutual | $275 | 152% |
| Principal Financial Group | $275 | 152% |
| Prudential Healthcare | $275 | 152% |
| Self Pay | $275 | 152% |
| State Farm | $275 | 152% |
| State Farm Insurance | $275 | 152% |
| State Mutual Insurance Co | $275 | 152% |
| Sterling Investors Life | $275 | 152% |
| Tower Life | $275 | 152% |
| Transamerica Premier Ins | $275 | 152% |
| United American | $275 | 152% |
| United Comm Travelers | $275 | 152% |
| United Teachers | $275 | 152% |
| Usable Administrator | $275 | 152% |
| Visn 16 Cfu | $275 | 152% |
| Wausau Benefits | $275 | 152% |
| Webtpa | $275 | 152% |
| Wells Fargo | $275 | 152% |
| Woodmen Of The World | $275 | 152% |