CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Prosser Memorial Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$127
about 0.7× the $181 Medicare rate · typically $92–$224
modeled estimate · not a bill or quote
What this hospital charges insurers
$165
Above the fair price
about $38 over the fair price · 0.9× Medicare
Medicare pays $181 Fair price $127 This hospital $165 Cash price $195 Hospital's list price $354

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $112 Priciest $165

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $127 (about 0.7× the $181 Medicare rate). Prosser Memorial Hospital charges insurers about $165, or about $195 in cash — above the fair price. Located in Prosser, WA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $127. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $75 - $283 41%
Blue Cross Blue Shieldmajor $176 - $319 97%
Aetnamajor $106 - $301 58%
Cignamajor $148 - $290 82%
Humanamajor $89 - $301 49%
Kaiser Permanentemajor $75 - $731 41%
Ambetter (Centene) $248 - $298 137%
Amerigroup $80 - $152 44%
Molina $79 - $165 44%
WellCare $88 - $165 49%
+ 6 smaller / regional plans $75 - $319
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 723 Memorial Street, Prosser, WA 99350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals