CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: University of Missouri Health Care

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $187
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at University of Missouri Health Care is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.03x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$187

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: $173 (95%)
Insurance Median: $187 (103%)
Cash: $173 (95% of Medicare)
Ins. Median: $187 (103% 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 $78 - $222 43%
Immergun $101 56%
Medica With Mu Health $101 - $251 56%
UnitedHealthcare $153 84%
American Health Management $156 86%
Blue Cross Blue Shield $156 - $190 86%
Humana $156 86%
Wellcare $156 86%
Provider Partners Health Plan $159 88%
Coventry Health Plan $187 103%
Healthlink $187 103%
Healthy Blue $205 113%
United Community $205 113%
Coventry Health Plan National $216 119%
Mercy $216 119%
Home State $219 121%
Cox Health Network $230 127%
Cigna $245 135%
Multiplan $253 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Drive, Columbia, MO 65212
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals