CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St Charles Medical Center Prineville

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$345
about 1.9× the $181 Medicare rate · typically $220–$557
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $345 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.

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 $299 - $987 165%
Blue Cross Blue Shieldmajor $329 - $522 181%
Aetnamajor $299 - $929 165%
Cignamajor $299 - $673 165%
Humanamajor $299 165%
Kaiser Permanentemajor $299 - $925 165%
Devoted Health $299 165%
Health Net $299 - $1,004 165%
Moda Health $918 506%
PacificSource $427 - $584 235%
Providence Health Plan $747 - $934 412%
UniCare $299 165%
WellCare $299 165%
+ 64 smaller / regional plans $299 - $1,068
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 384 Se Combs Flat Road, Prineville, OR 97754
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals