CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Mid-Columbia Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $151
Cash Discount Price: $221
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Mid-Columbia Medical Center is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.83x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$221

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $221 (122%)

Insurance Median: $151 (83%)

Cash: $221 (122% of Medicare)

Ins. Median: $151 (83% 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
Providence Ppo - All Plans	$58	32%
Blue Cross Blue Shield	$137 - $287	76%
Community Hp Mcr Adv - All Plans	$137	76%
Molina Mcr Adv	$137	76%
Tricare	$137	76%
Va Ccn Triwest - All Plans	$137	76%
Healthnet Mcr Adv	$140	77%
Humana	$141	78%
Moda Mcr Adv	$141	78%
Devoted Mcr Adv - All Plans	$148	82%
Employee Health Plan - All Plans	$151	83%
Molina - All Other Plans	$151	83%
Healthnet - All Other Plans	$170	94%
Coventry - All Plans	$219	121%
First Choice - All Plans	$223	123%
Cigna	$230	127%
Multiplan/Phcs - All Plans	$233	128%
Molina Mcaid	$240	132%
Moda Health Plan - All Other Plans	$245	135%
Aetna	$393	217%
Amerigroup Mcaid - All Plans	$461	254%
Coordinated Care Mcaid - All Plans	$461	254%

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 $221.
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 Mid-Columbia Medical Center 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.