CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Santiam Hospital & Clinics

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$199

about 1.1× the $181 Medicare rate · typically $165–$199

modeled estimate · not a bill or quote

What this hospital charges insurers

$199

About the fair price

1.1× Medicare

Medicare pays $181 Fair price $199 This hospital $199 Cash price $520 Hospital's list price $520

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 6 of 8 other OR hospitals charge more for the same procedure.

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 $199 (about 1.1× the $181 Medicare rate). Santiam Hospital & Clinics charges insurers about $199, or about $520 in cash — about the fair price. Located in Stayton, 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	$199 - $437	110%
Blue Cross Blue Shieldmajor	$199 - $439	110%
Aetnamajor	$404	223%
Cignamajor	$438	242%
Humanamajor	$199	110%
Kaiser Permanentemajor	$166 - $431	92%
Devoted Health	$211	116%
Health Net	$205 - $494	113%
Moda Health	$442	244%
+ 11 smaller / regional plans	$166 - $494

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 520), 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 Santiam Hospital & 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 Santiam Hospital & Clinics

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

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