CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Mangum Regional Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$262
about 1.4× the $181 Medicare rate · typically $116–$562
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $262 Cash price $314 Hospital's list price $654

How we calculate the fair BaseRate →

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 $78 - $314 43%
Blue Cross Blue Shieldmajor $314 - $556 173%
Aetnamajor $294 - $654 162%
Cignamajor $458 253%
Humanamajor $317 - $654 175%
Ambetter (Centene) $455 251%
WellCare $314 173%
+ 3 smaller / regional plans $263 - $654
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1 Wickersham Drive, Mangum, OK 73554
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals