CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: University of Mississippi Med Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $269
Cash Discount Price: $136
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at University of Mississippi Med Center is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.48x the Medicare baseline. Located in 2500 N State St, Jackson, MS.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$269

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: $136 (75%)

Insurance Median: $269 (148%)

Cash: $136 (75% of Medicare)

Ins. Median: $269 (148% 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
Ms-Can-Molina	$126	69%
Ms-Can-Magnolia	$127	70%
Ms-Can-Truecare	$129	71%
Medicare (plans)	$160	88%
Tricare	$160	88%
Va_Ccn	$160	88%
Medadv_Primewell	$165	91%
Medadv_Uhc	$165	91%
Medadv_Uhcdsnp	$165	91%
Wellcare	$165	91%
Humana	$167	92%
Cigna	$197	109%
United	$254	140%
United-Options	$255	141%
Ppoplus	$265	146%
Molina-Chip	$269	148%
Firsthealth	$272	150%
Multiplan	$272	150%
Magnolia-Chip	$275	152%
Truecare-Chip	$275	152%
Aetna	$289	159%
Healthlink_Tupelo	$289	159%
Phcs	$306	169%
Advhealth	$340	187%
Ambetter / Centene	$340	187%
Blue Cross Blue Shield	$340	187%
Molina_Exchange	$340	187%
Mpcn	$340	187%
Primewell	$340	187%
Firstchoice	$401	221%
Firstchoice-Hum	$401	221%

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 $136.
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 University of Mississippi Med 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.