CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St John Owasso

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $157
Cash Discount Price: $124
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at St John Owasso is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 12451 East 100Th Street North, Owasso, OK.

Cash / Self-Pay

$124

Average discount available for prompt cash payment at this facility.

Insurance Median

$157

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: $124 (68%)

Insurance Median: $157 (87%)

Cash: $124 (68% of Medicare)

Ins. Median: $157 (87% 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
Aetna	$142	78%
Blue Cross Blue Shield	$150 - $227	83%
Champva	$153	84%
Community Care - St John Network Senior - Govt	$153	84%
Communitycare Senior	$153	84%
Life Pace	$153	84%
Longevity Health Plan Of Oklahoma	$153	84%
Medicare (plans)	$153	84%
UnitedHealthcare	$153 - $157	84%
Va Community Care Network	$153	84%
Veterans Administration	$153	84%
Humana	$154	85%
Communitycare (Standard)	$168	93%
Community Care (Select) 7/1/13	$183	101%
Ccl&H	$199	110%
Smarthealth	$214	118%
Community Care Smarthealth	$229 - $367	126%
Communitycare (Select)	$229 - $352	126%
Connect Health Benefit	$306	169%
Evolutions	$306	169%
Kempton Group Administrators	$344	190%

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 $124.
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 St John Owasso 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.