CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Henrico Doctors' Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $256
Cash Discount Price: $777
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Henrico Doctors' Hospital is $256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $777. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.41x the Medicare baseline. Located in 1602 Skipwith Road, Richmond, VA.

Cash / Self-Pay

$777

Average discount available for prompt cash payment at this facility.

Insurance Median

$256

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: $777 (428%)

Insurance Median: $256 (141%)

Cash: $777 (428% of Medicare)

Ins. Median: $256 (141% 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
Cigna	$111 - $163	61%
Bright Health	$126	69%
Oscar	$132	73%
Lifeworks	$148	82%
United	$162 - $350	89%
Universal Healthcare Group	$171	94%
Aetna	$249 - $256	137%
Virginia Health Network	$272 - $505	150%
Greenvbrier Sporting Club	$466	257%
Corvel	$559	308%
Occunet Workers Comp	$622	343%
4Most Health Nework	$699	385%
Multiplan	$699	385%

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 $777.
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 Henrico Doctors' 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.