CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Mary Bridge Children's Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$353

about 2.0× the $181 Medicare rate · typically $172–$403

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $353 Cash price $306 Hospital's list price $764

How we calculate the fair BaseRate →

What each insurance company pays

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

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

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

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	$186 - $1,408	103%
Blue Cross Blue Shieldmajor	$184 - $864	101%
Aetnamajor	$184 - $1,099	101%
Cignamajor	$622 - $638	343%
Kaiser Permanentemajor	$1,153	636%
Molina	$187 - $330	103%
PacificSource	$322 - $325	178%
WellCare	$187	103%
+ 3 smaller / regional plans	$196 - $859

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 306), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Mary Bridge Children's Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mary Bridge Children's Hospital

Compare: Psychiatric evaluation (first visit) at other WA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.