CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Christian Hospital Northeast

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $285
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Christian Hospital Northeast is $285. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.57x the Medicare baseline. Located in 11133 Dunn Road, Saint Louis, MO.
Cash / Self-Pay
$259

Average discount available for prompt cash payment at this facility.

Insurance Median
$285

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: $259 (143%)
Insurance Median: $285 (157%)
Cash: $259 (143% of Medicare)
Ins. Median: $285 (157% 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
Cigna $190 - $247 105%
Healthscope Benefits [258] $192 106%
UnitedHealthcare $192 - $321 106%
Healthlink [225] $210 - $326 116%
Consociate [478] $233 128%
Sarah Bush Lincoln [636] $233 128%
Blue Cross Blue Shield $238 - $376 131%
Cox Health Systems Insurance Company [220] $238 - $281 131%
Health Alliance [224] $238 131%
Humana $240 132%
Apwu Health Plan [216] $247 136%
Nalc Health Benefit Plan [242] $247 136%
Priority Health [648] $247 136%
Allied Benefits [498] $251 - $321 138%
Hope Trust [806] $251 138%
Mercy Behavioral Health [573] $258 142%
Med-Pay [480] $281 - $324 155%
Unicare [568] $281 - $326 155%
Aetna $285 - $324 157%
Coresource [497] $285 157%
Fmh Benefit Service Inc [222] $285 157%
Mail Handlers [495] $285 157%
Medicare (plans) $299 165%
Mh Net [273] $299 165%
First Health Commercial [734] $321 177%
Beechstreet [551] $324 179%
Detego Health [868] $324 179%
Health Systems Inc [620] $324 179%
Healthcare Sol Mercy [609] $324 179%
Multiplan Commercial [737] $324 179%
Multiplan [240] $324 179%
Phcs [244] $324 - $346 179%
Preferred Health Professionals [561] $326 180%
Hfn [563] $346 191%
Medica [661] $346 191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11133 Dunn Road, Saint Louis, MO 63136
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals