CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Dr Dan C Trigg Memorial Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$188
about 1.0× the $181 Medicare rate · typically $150–$218
modeled estimate · not a bill or quote
What this hospital charges insurers
$203
About the fair price
about $15 over the fair price · 1.1× Medicare
Medicare pays $181 Fair price $188 This hospital $203

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 1 charge more and 2 charge less, among the 5 NM hospitals compared.

Cheapest $156 Priciest $308

Black dot = this hospital, among the 5 NM hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $188 (about 1.0× the $181 Medicare rate). Dr Dan C Trigg Memorial Hospital charges insurers about $203 — about the fair price. Located in Tucumcari, NM.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $191 105%
Blue Cross Blue Shieldmajor $193 - $324 106%
Aetnamajor $195 108%
Humanamajor $202 111%
Molina $198 109%
Presbyterian $185 - $592 102%
+ 1 smaller / regional plan $204

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Facility Profile & Credentials

  • Address: 301 East Miel De Luna Avenue, Tucumcari, NM 88401
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals