CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St. Patrick Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$220

about 1.2× the $181 Medicare rate · typically $176–$226

modeled estimate · not a bill or quote

What this hospital charges insurers

$187

Below the fair price — a good deal

about $33 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $220 This hospital $187 Cash price $192 Hospital's list price $240

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

One of the lower prices — 7 of 8 other MT hospitals charge more for the same procedure.

Cheapest $129 Priciest $236

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

A fair price for a Psychiatric evaluation (first visit) is about $220 (about 1.2× the $181 Medicare rate). St. Patrick Hospital charges insurers about $187, or about $192 in cash — below the fair price — a good deal. Located in Missoula, MT.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor	$183	101%
Humanamajor	$185	102%
PacificSource	$187	103%
+ 2 smaller / regional plans	$363 - $475

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 192), 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 St. Patrick 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 St. Patrick Hospital

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

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