CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Metro Nashville General Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $142
Cash Discount Price: $205
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Metro Nashville General Hospital is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.78x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.

Cash / Self-Pay

$205

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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: $205 (113%)

Insurance Median: $142 (78%)

Cash: $205 (113% of Medicare)

Ins. Median: $142 (78% 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.

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
UnitedHealthcare	$78 - $142	43%
Corizon	$93	51%
Amerigroup	$124	68%
Amerivantage	$124	68%
Cigna	$124 - $142	68%
Aetna	$142 - $188	78%
Blue	$142	78%
Humana	$142	78%
Medicare (plans)	$142	78%
Upmc	$142	78%
Wellcare	$142	78%
Farm Bureau	$145	80%
Corecivic	$156	86%
Blue Cross Blue Shield	$174 - $229	96%
Ambetter / Centene	$199	110%
Naphcare	$213	117%
Provider Network Of America	$241	133%

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 $205.
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 Metro Nashville 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.