CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Duncan Regional Hospital, Inc
Billing Code: 90791 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$282
about 1.6× the $181 Medicare rate · typically $161–$508
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $282 Hospital's list price $236
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $160 | 88% |
| Blue Cross Blue Shieldmajor | $372 - $584 | 205% |
| Aetnamajor | $201 | 111% |
| Cignamajor | $212 | 117% |
| Humanamajor | $164 | 90% |
| Friday Health | $418 | 231% |
| Health Net | $189 | 104% |
| Healthcare Highways | $104 - $153 | 57% |
| Medica | $99 | 55% |
| + 2 smaller / regional plans | $212 - $217 |
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
Insurance Before you use insurance
Other Procedures at Duncan Regional Hospital, Inc
Compare: Psychiatric evaluation (first visit) at other OK hospitals
- Haskell Regional Hospital, Inc · Stigler $107
- Mercy Hospital Logan County · Guthrie $134
- Ascension St John Broken Arrow · Broken Arrow $142
- Carnegie Tri-County Municipal Hospital · Carnegie $149
- J D McCarty Center for Children · Norman $156
- Muscogee (Creek) Nation Medical Center · Okmulgee $159
- St John Owasso · Owasso $160
- Pawhuska Hospital, Inc · Pawhuska $161
Insurance negotiated median for the same procedure, sorted lowest first.