CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: OHSU Hospital and Clinics

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$204

about 1.1× the $181 Medicare rate · typically $182–$250

modeled estimate · not a bill or quote

What this hospital charges insurers

$201

About the fair price

about $3 under the fair price · 1.1× Medicare

Medicare pays $181 Fair price $204 This hospital $201 Cash price $245 Hospital's list price $378

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 4 charge more and 3 charge less, among the 9 OR hospitals compared.

Cheapest $153 Priciest $215

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $204 (about 1.1× the $181 Medicare rate). OHSU Hospital and Clinics charges insurers about $201, or about $245 in cash — about the fair price. Located in Portland, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$201 - $554	111%
Blue Cross Blue Shieldmajor	$201	111%
Aetnamajor	$157 - $432	87%
Cignamajor	$184 - $506	101%
Humanamajor	$199 - $211	110%
Kaiser Permanentemajor	$159 - $463	88%
Health Net	$156 - $429	86%
Moda Health	$111 - $342	61%
Molina	$201 - $554	111%
Providence Health Plan	$171 - $471	94%
+ 7 smaller / regional plans	$39 - $498

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 245), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm OHSU Hospital and Clinics is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at OHSU Hospital and Clinics

Compare: Psychiatric evaluation (first visit) at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.