CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Harrison County Community Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $229
Cash Discount Price: $257
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Harrison County Community Hospital is $229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $257. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.26x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$257

Average discount available for prompt cash payment at this facility.

Insurance Median

$229

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: $257 (142%)

Insurance Median: $229 (126%)

Cash: $257 (142% of Medicare)

Ins. Median: $229 (126% 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
Multiplan	$139 - $316	77%
Cigna	$141 - $316	78%
Provider Partners Health Plans	$141 - $247	78%
Care Improvement Plus	$145 - $229	80%
Blue Cross Blue Shield	$151 - $348	83%
Allwell	$162 - $229	89%
Ambetter / Centene	$162 - $229	89%
Blue Advantage Plus	$162 - $229	89%
Humana	$162 - $356	89%
UnitedHealthcare	$162 - $336	89%
Healthy Blue	$166 - $176	92%
Home State	$166 - $176	92%
Aetna	$197 - $348	109%
6 Degrees Health	$204 - $316	112%
Wellmark	$316	174%

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 $257.
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 Harrison County 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.