CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Adventist Health Tillamook

Billing Code: 90791 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$143

about 0.8× the $181 Medicare rate · typically $93–$321

modeled estimate · not a bill or quote

What this hospital charges insurers

$153

About the fair price

about $10 over the fair price · 0.8× Medicare

Medicare pays $181 Fair price $143 This hospital $153 Cash price $157 Hospital's list price $292

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

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 $143 (about 0.8× the $181 Medicare rate). Adventist Health Tillamook charges insurers about $153, or about $157 in cash — about the fair price. Located in Tillamook, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 - $290	97%
Blue Cross Blue Shieldmajor	$86 - $359	47%
Aetnamajor	$96 - $224	53%
Cignamajor	$175	97%
Devoted Health	$93 - $148	51%
Health Net	$173 - $388	95%
Moda Health	$86 - $140	47%
PacificSource	$48 - $177	26%
+ 7 smaller / regional plans	$87 - $405

Government programs also on file: Medicare.

Excludes 2 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 157), 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 Adventist Health Tillamook 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 Adventist Health Tillamook

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

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