CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Sky Lakes Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$218

about 1.2× the $181 Medicare rate · typically $150–$609

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $218 Cash price $131 Hospital's list price $175

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.

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	$175	97%
Blue Cross Blue Shieldmajor	$175 - $609	97%
Aetnamajor	$175	97%
Cignamajor	$175	97%
Humanamajor	$175	97%
Kaiser Permanentemajor	$175	97%
GEHA	$175	97%
Health Net	$175	97%
HealthPartners	$175	97%
Moda Health	$144 - $175	79%
MVP Health Care	$175	97%
PacificSource	$157	87%
Providence Health Plan	$175	97%
Sanford Health Plan	$175	97%
UPMC Health Plan	$175	97%
+ 195 smaller / regional plans	$175

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

Excludes 17 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 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 Sky Lakes 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 Sky Lakes Medical Center

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

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