CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 90791 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$294
about 1.6× the $181 Medicare rate · typically $137–$518
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $294 Cash price $172 Hospital's list price $265
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✓ 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 | $80 - $254 | 44% |
| Blue Cross Blue Shieldmajor | $80 - $597 | 44% |
| Aetnamajor | $80 - $251 | 44% |
| Cignamajor | $80 - $249 | 44% |
| Humanamajor | $80 | 44% |
| Ambetter (Centene) | $80 | 44% |
| Dean Health Plan | $238 | 131% |
| GEHA | $251 - $254 | 138% |
| Health Net | $80 - $223 | 44% |
| HealthPartners | $80 - $207 | 44% |
| Meridian | $80 | 44% |
| Moda Health | $257 | 142% |
| Molina | $80 | 44% |
| PacificSource | $159 - $249 | 88% |
| Paramount | $80 - $238 | 44% |
| Presbyterian | $80 | 44% |
| Priority Health | $249 | 137% |
| SelectHealth | $183 - $238 | 101% |
| Tufts Health Plan | $80 | 44% |
| WellSense | $80 | 44% |
| + 92 smaller / regional plans | $80 - $597 |
Government programs also on file: Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: Psychiatric evaluation (first visit) at other OR hospitals
- Adventist Health Tillamook · Tillamook $153
- Mid-Columbia Medical Center · The Dalles $160
- Santiam Hospital & Clinics · Stayton $199
- OHSU Hospital and Clinics · Portland $201
- Hillsboro Medical Center · Hillsboro $201
- Providence St Vincent Medical Center · Portland $215
- Providence Willamette Falls Medical Center · Oregon City $215
- Providence Portland Medical Center · Portland $215
Insurance negotiated median for the same procedure, sorted lowest first.