CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Fisher-Titus Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $209
Cash Discount Price: $254
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Fisher-Titus Hospital is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.15x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$254

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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%)

Cash / Self-Pay: $254 (140%)

Insurance Median: $209 (115%)

Cash: $254 (140% of Medicare)

Ins. Median: $209 (115% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$77 - $142	42%
Aetna	$78 - $258	43%
Medical Mutual Of Ohio	$103 - $173	57%
Martin'S Point	$106 - $142	58%
Blue Cross Blue Shield	$107 - $270	59%
Caresource	$107 - $151	59%
Amerihealth	$110	61%
Buckeye	$110 - $151	61%
Molina	$110	61%
UnitedHealthcare	$110 - $270	61%
Devoted	$142	78%
Medigold	$142	78%
Meridan	$142	78%
Paramount	$142 - $267	78%
Perennial Advantage	$142 - $164	78%
Summacare	$142 - $261	78%
Zinghealth	$145	80%
Sidecar	$146 - $320	81%
Valor Health	$146 - $155	81%
Gateway	$149	82%
Perennial	$149	82%
Wellcare	$149 - $151	82%
Zing Health	$151	83%
Coresource	$168	93%
First Health	$168 - $267	93%
Health Scope	$170	94%
Emerald Health	$177 - $288	98%
Health Ohio Network	$183 - $213	101%
Frontpath	$184	101%
Ohio Health Choice	$184 - $267	101%
Tricare	$196 - $238	108%
Cigna	$198 - $238	109%
Clarity Health	$198	109%
Multiplan	$198 - $267	109%
Claimsdoc	$209 - $238	115%
Healthscope	$238 - $270	131%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $254.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fisher-Titus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.