CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Christ Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $138
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Christ Hospital is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.76x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $128 (71%)
Insurance Median: $138 (76%)
Cash: $128 (71% of Medicare)
Ins. Median: $138 (76% 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
Blue Cross Blue Shield $42 - $493 23%
Caresource [2031] $42 - $188 23%
Humana $42 - $188 23%
Medicaid / KanCare $42 - $188 23%
Aetna $78 - $188 43%
Kentucky Passport/Molina [2097] $78 - $138 43%
UnitedHealthcare $78 - $314 43%
Wellcare Of Kentucky [2191] $78 - $138 43%
Aarp [2020] $131 72%
Allied Benefits [2163] $131 - $148 72%
Ambetter / Centene $131 - $148 72%
Amerihealth Caritas [2230] $131 - $188 72%
Buckeye Community Health [2028] $131 - $188 72%
Buckeye Mycare Dual [2171] $131 - $148 72%
Cigna $131 - $314 72%
Custom Design Benefits - True Cost [3004] $131 - $148 72%
First Health [2041] $131 - $148 72%
Golden Rule [2161] $131 - $179 72%
Key Benefit Administrators [2221] $131 - $138 72%
Medben [2222] $131 - $148 72%
Medical Mutual [2054] $131 - $437 72%
Medicare (plans) $131 - $148 72%
Medigold Ppo [2204] $131 - $148 72%
Meritain Health [2224] $131 - $148 72%
Multiplan/Phcs [2059] $131 - $229 72%
Oon Oscar [2256] $131 72%
Other Exchange Plan [9992] $131 - $314 72%
Other Managed Care [9991] $131 72%
Other [9990] $131 72%
Priority Health [2225] $131 - $167 72%
Tricare $131 - $138 72%
United Medical Resources [2104] $131 - $179 72%
Western And Southern [2076] $131 - $437 72%
Meridian [2185] $148 82%
Perennial [4200] $148 82%
Poppins Health [2299] $148 82%
Ohio Health Choice [2062] $151 83%
Nalc [2178] $167 92%
Geha [2168] $179 99%
Life Synch [2080] $188 104%
Bccp [3079] $314 173%
Healthcare Highways [2298] $314 173%
Sagamore Health Network [2066] $314 173%
Suburban Health [2408] $314 173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2139 Auburn Avenue, Cincinnati, OH 45219
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals