CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St Charles Medical Center - Bend

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$370

about 2.0× the $181 Medicare rate · typically $194–$566

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $370 Cash price $854 Hospital's list price $1,068

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✓ Kaiser Permanente Humana

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	$987	544%
Blue Cross Blue Shieldmajor	$443 - $522	244%
Aetnamajor	$929	512%
Cignamajor	$673	371%
Kaiser Permanentemajor	$925	510%
Health Net	$1,004	554%
Moda Health	$918	506%
PacificSource	$427 - $584	235%
Providence Health Plan	$747 - $934	412%
+ 46 smaller / regional plans	$369 - $1,046

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (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 854), 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 St Charles Medical Center - Bend 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 St Charles Medical Center - Bend

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

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