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
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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Other Procedures at St Charles Medical Center Prineville
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.