CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Curry General Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $431
Cash Discount Price: $454
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Curry General Hospital is $431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $454. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.38x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$454

Average discount available for prompt cash payment at this facility.

Insurance Median

$431

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $454 (250%)

Insurance Median: $431 (238%)

Cash: $454 (250% of Medicare)

Ins. Median: $431 (238% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 238% of the Medicare baseline (a markup of 138%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$100 - $445	55%
Tricare	$141	78%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$160	88%
Medicare (plans)	$160	88%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$166	92%
Blue Cross Blue Shield	$232 - $454	128%
Medicaid / KanCare	$286 - $295	158%
Department Of Corrections [1051]	$295	163%
Coordinated Care Commercial [1649]	$386	213%
Pacificsource [1148]	$386	213%
Moda [512]	$390 - $409	215%
Multiplan [1131]	$413	228%
Asuris [1258]	$431	238%
Operating Engineers [1144]	$431	238%
Regence [1351]	$431 - $454	238%
First Choice Health Admin [1294]	$433	239%
First Choice [528]	$433	239%
Coventry First Health Managed Care [1774]	$445	245%
Coventry Health [1046]	$445	245%
Providence Health Plan Plm Alt [1692]	$445	245%
Providence Health Plan [567]	$445	245%
Aetna	$454	250%
Employee Bene Admin Mgmt [525]	$454	250%
Geha [531]	$454	250%
Mailhandlers Benefit Pln [547]	$454	250%
Meritain [550]	$454	250%
Nw Sheet Metal Workers [597]	$454	250%
Trustmark [524]	$454	250%
UnitedHealthcare	$454	250%
Zenith Administrators [586]	$454	250%
Allcare Alt [2598]	$2,000	1103%
Allcare [1695]	$2,000	1103%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $454.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.