CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Crossgates River Oaks Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$171

about 0.9× the $181 Medicare rate · typically $156–$260

modeled estimate · not a bill or quote

What this hospital charges insurers

$174

About the fair price

about $3 over the fair price · 1.0× Medicare

Medicare pays $181 Fair price $171 This hospital $174 Cash price $1,207 Hospital's list price $8,044

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $109 Priciest $174

Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychiatric evaluation (first visit) is about $171 (about 0.9× the $181 Medicare rate). Crossgates River Oaks Hospital charges insurers about $174, or about $1,207 in cash — about the fair price. Located in Brandon, MS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$122 - $2,333	67%
Blue Cross Blue Shieldmajor	$286	158%
Aetnamajor	$174 - $5,631	96%
Cignamajor	$1,665 - $5,631	918%
Humanamajor	$169	93%
CareSource	$125	69%
Devoted Health	$172	95%
Molina	$132 - $210	73%
WellCare	$175	97%
+ 24 smaller / regional plans	$124 - $7,239

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,207), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Crossgates River Oaks Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Crossgates River Oaks Hospital

Compare: Psychiatric evaluation (first visit) at other MS hospitals

Insurance negotiated median for the same procedure, sorted lowest first.