CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Island Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $187
Cash Discount Price: $261
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Island Hospital is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.03x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$261

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $261 (144%)

Insurance Median: $187 (103%)

Cash: $261 (144% of Medicare)

Ins. Median: $187 (103% 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
Molina Mcaid - All Plans	$18 - $303	10%
Amerigroup Mcaid - All Plans	$19 - $321	10%
Humana	$19 - $303	10%
Samish Indian Health - All Plans	$19 - $303	10%
Swinomish Indian Health - All Plans	$19 - $303	10%
Tricare	$19 - $303	10%
UnitedHealthcare	$19 - $303	10%
Chpw Mcaid - All Plans	$20 - $303	11%
Premera Mcr Adv	$20 - $318	11%
Regence Mcr Adv	$20 - $321	11%
Coordinated Care Mcaid - All Plans	$21 - $303	12%
Premera Comm - All Other Plans	$34 - $166	19%
Regence Comm - All Other Plans	$39 - $208	22%
Multiplan - All Plans	$40 - $236	22%
Cigna	$42 - $242	23%
First Health - All Plans	$44 - $258	24%
Aetna	$49 - $318	27%
Aarp Mcr Adv - All Plans	$90 - $303	50%
Kaiser Comm - All Other Plans	$96 - $170	53%
First Choice - All Plans	$168 - $236	93%
Kaiser Mcr Adv	$172 - $303	95%

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 $261.
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 Island 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.