CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $313
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Intermountain Health St Vincent Regional Hospital is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.73x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$313

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%)
Insurance Median: $313 (173%)
Ins. Median: $313 (173% 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.

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
Medicare (plans) $161 89%
UnitedHealthcare $164 90%
Ebms-Employee Benefit Mng $270 - $386 149%
Blue Cross Blue Shield $271 - $365 149%
Sibanye Stillwater Health Partners $305 168%
Exchange Other $313 173%
Mt Health Co-Op $313 173%
Coastal Administrative Services $321 177%
Allegiance $402 - $442 222%
Pacific Steel And Recycling $402 222%
Pacificsource $402 222%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals