CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Sheridan Memorial Hosptial

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$140

about 0.8× the $181 Medicare rate · typically $111–$320

modeled estimate · not a bill or quote

What this hospital charges insurers

$129

About the fair price

about $11 under the fair price · 0.7× Medicare

Medicare pays $181 Fair price $140 This hospital $129 Cash price $299 Hospital's list price $333

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Lowest price of the 9 MT hospitals we have prices for — a strong deal.

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 $140 (about 0.8× the $181 Medicare rate). Sheridan Memorial Hosptial charges insurers about $129, or about $299 in cash — about the fair price. Located in Plentywood, MT.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Health Net	$299	165%
+ 3 smaller / regional plans	$56 - $205

Excludes 2 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 299), 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 Sheridan Memorial Hosptial 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 Sheridan Memorial Hosptial

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

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