CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Intermountain Health Alta View Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $221
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Intermountain Health Alta View Hospital is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.22x the Medicare baseline. Located in 9660 South 1300 East, Sandy, UT.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

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: $266 (147%)
Insurance Median: $221 (122%)
Cash: $266 (147% of Medicare)
Ins. Median: $221 (122% 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.

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
Selecthealth $94 - $462 52%
Donor Connect $95 52%
Health Plan Of Nevada $106 - $154 58%
Aetna $149 - $301 82%
American Health $149 - $187 82%
Blue Cross Blue Shield $149 - $269 82%
Health Partners Of Nevada $149 - $179 82%
Humana $149 - $188 82%
Molina $149 - $197 82%
UnitedHealthcare $149 - $301 82%
Intermountain Caregiver Plan $150 - $440 83%
Healthy U $154 85%
Triwest $154 85%
Emi $191 - $246 105%
Deseret Mutual $204 112%
Cigna $223 - $301 123%
Awh Connected $225 - $229 124%
Emi Health $246 136%
Pehp $247 - $315 136%
Byu Risk Management $248 - $259 137%
Corporation Of The President $248 - $259 137%
Wcf Insurance $248 - $259 137%
Byu Athletics $255 141%
Campbell Scientific $255 141%
Corvel Corporation $255 141%
Franklin County $255 141%
Ifit $255 141%
Juniper Systems $255 141%
Lw Miller $255 141%
Tanner Llc $255 141%
Utah Tech $255 141%
Injury Care Of Nevada $266 147%
Managed Care Admin $276 152%
Prodegi Corp Benefit $291 160%
Uofu $291 160%
Springtide $294 162%
Global Excel $301 166%
Medcare International $301 166%
Motivhealth $301 166%
Wise Network $301 166%
Hygeia Corporation $319 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9660 South 1300 East, Sandy, UT 84094
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals