CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Ochsner Rush Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $169
Cash Discount Price: $139
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Ochsner Rush Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.93x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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: $139 (77%)

Insurance Median: $169 (93%)

Cash: $139 (77% of Medicare)

Ins. Median: $169 (93% 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
UnitedHealthcare	$108 - $198	60%
Humana	$115 - $147	63%
Medicaid / KanCare	$118 - $132	65%
Blue Cross Blue Shield	$130 - $344	72%
Cigna	$140 - $341	77%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$140 - $147	77%
Medicare (plans)	$140 - $169	77%
Shared Health Mississippi	$147 - $154	81%
Prime Health Services Ppo	$161 - $492	89%
Aetna	$162 - $400	89%
Prime Health Services Ppo -Workers Comp	$172 - $218	95%
Select Administrative Services Network	$175 - $430	97%
Cor Vel	$176 - $220	97%
Claritev D/B/A Multiplan/Phcs/American Life Care	$188 - $461	104%
Ambetter / Centene	$196 - $206	108%
Zelis	$212 - $242	117%
Primewell Health Services Commercial Exchange Plan	$223 - $411	123%
Primewell Health Services – Commercial	$223 - $411	123%

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 $139.
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 Ochsner Rush 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.