CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Hillsboro Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$207

about 1.1× the $181 Medicare rate · typically $180–$256

modeled estimate · not a bill or quote

What this hospital charges insurers

$201

About the fair price

about $6 under the fair price · 1.1× Medicare

Medicare pays $181 Fair price $207 This hospital $201 Cash price $131 Hospital's list price $201

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 $207 (about 1.1× the $181 Medicare rate). Hillsboro Medical Center charges insurers about $201, or about $131 in cash — about the fair price. Located in Hillsboro, 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	$79 - $209	44%
Blue Cross Blue Shieldmajor	$201	111%
Aetnamajor	$181 - $213	100%
Cignamajor	$139	77%
Humanamajor	$203 - $209	112%
Kaiser Permanentemajor	$158 - $201	87%
Health Net	$79 - $201	44%
Moda Health	$201 - $217	111%
Molina	$201	111%
Providence Health Plan	$131 - $197	72%
+ 7 smaller / regional plans	$79 - $203

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 131), 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 Hillsboro Medical Center 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 Hillsboro Medical Center

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

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