CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Jefferson Healthcare

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $155
Cash Discount Price: $308
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Jefferson Healthcare is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.85x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$308

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $308 (170%)

Insurance Median: $155 (85%)

Cash: $308 (170% of Medicare)

Ins. Median: $155 (85% 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	$107 - $123	59%
Chpw Mcaid	$120 - $126	66%
Amerigroup Mcaid-All Plans	$126 - $130	69%
Coord Care Mcaid Ip/Op Only	$129	71%
Aetna	$135 - $346	74%
Molina Mcr Adv	$135 - $160	74%
Tricare	$135 - $139	74%
Medicare (plans)	$137 - $160	76%
Chpw Mcr Adv	$145 - $150	80%
Molina Marketplace-All Other Plans	$168 - $174	93%
Chpw Commercial-All Other Plans	$209 - $327	115%
UnitedHealthcare	$215	119%
Coord Care Comm/Exchge-All Other Plans	$223 - $346	123%
Regence-All Other Plans	$289	159%
Premera-All Plans	$327	180%
Cigna	$346	191%
Coord Care Cascade Ip/Op Only	$346	191%

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 $308.
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 Jefferson Healthcare 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.