CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Okeene Municipal Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $326
  • Cash Discount Price: $388
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Okeene Municipal Hospital is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $388. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.80x the Medicare baseline. Located in 207 East F Street, Okeene, OK.
Cash / Self-Pay
$388

Average discount available for prompt cash payment at this facility.

Insurance Median
$326

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: $388 (214%)
Insurance Median: $326 (180%)
Cash: $388 (214% of Medicare)
Ins. Median: $326 (180% 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
Pref Community Choice Ppo-All Plans $73 40%
Blue Cross Blue Shield $154 - $276 85%
Coventry Mcr Adv $276 152%
Global Health Mcr Adv $276 152%
Humana $276 - $485 152%
Medicare (plans) $276 152%
UnitedHealthcare $276 - $345 152%
Cigna $297 164%
Ihs-All Plans $314 173%
Ok Complete Health Comm-All Other Plans $337 186%
Aetna $340 - $485 187%
Healthchoice Ip Only-All Plans $340 187%
Global Health-All Other Plans $359 198%
Healthcare Highways-All Plans $364 201%
Phcs Savility/Multiplan - All Plans $364 201%
Medica Commercial-All Other Plans $373 206%
Community Care Hmo-All Plans $436 240%
Ok Complete Health Mcaid $485 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 207 East F Street, Okeene, OK 73763
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals