CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Research Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $931
Cash Discount Price: $2,387
vs. Medicare Baseline: 5.13x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Research Medical Center is $931. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,387. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 5.13x the Medicare baseline. Located in 2316 E Meyer Blvd, Kansas City, MO.

Cash / Self-Pay

$2,387

Average discount available for prompt cash payment at this facility.

Insurance Median

$931

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: $2,387 (1316%)

Insurance Median: $931 (513%)

Cash: $2,387 (1316% of Medicare)

Ins. Median: $931 (513% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 513% of the Medicare baseline (a markup of 413%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$310 - $931	171%
Ambetter / Centene	$444	245%
Nhc Advantage	$453	250%
Oscar	$453	250%
Healthyblue	$477	263%
Wppa Providrs Care Network	$477	263%
Humana	$504 - $1,551	278%
Aetna	$525 - $1,217	290%
Cigna	$592 - $1,193	326%
United	$599 - $1,074	330%
Universal Healthcare	$835	460%
Coventry	$959	529%
Coventry Kc Mo	$978	539%
College Park Family Care Center	$1,026	566%
Emerging Therapy Solutions	$1,146 - $1,193	632%
Oha Network	$1,193	658%
Multiplan	$1,265 - $1,909	698%
Corvel Corporation	$1,551	855%
Focus Healthcare Mgmt, Inc	$1,790	987%
Triwest Health Alliance	$1,790	987%
Cco, Inc.	$1,909	1053%
Evernorth Behavioral Health	$1,909	1053%
UnitedHealthcare	$2,124 - $2,387	1171%

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 $2,387.
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 Research Medical Center 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.