CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Crossing Rivers Health Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $136
Cash Discount Price: $252
vs. Medicare Baseline: 0.75x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Crossing Rivers Health Medical Center is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.75x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$252

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

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: $252 (139%)

Insurance Median: $136 (75%)

Cash: $252 (139% of Medicare)

Ins. Median: $136 (75% 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
Amerigroup Mcr Adv	$42 - $136	23%
Blue Cross Blue Shield	$42 - $293	23%
Security Hlth Mcr Adv	$42 - $136	23%
UnitedHealthcare	$42 - $136	23%
Humana	$43 - $136	24%
Quartz - All Plans	$81 - $248	45%
Dean Health Plan - All Plans	$96 - $383	53%
Medica Hp Solutions	$96	53%
Security Hlth Comm - All Other Plans	$96 - $136	53%
Health Trad Hp - All Plans	$97 - $387	53%
Wea Provider Ntwrk - All Plans	$97	53%
Cigna	$98 - $391	54%
First Health - All Plans	$98 - $391	54%
Geha - All Plans	$98 - $391	54%
Group Health Co-Op - All Plans	$98 - $322	54%
Health Partners - All Plans	$98 - $391	54%
Medical Associates Hp - All Plans	$98 - $391	54%
Preferred Health Choice - All Plans	$98	54%
Wps - All Plans	$98 - $232	54%
Amerigroup Mcaid-All Other Plans	$403 - $530	222%
Iowa Total Care Mcaid-All Plans	$403 - $530	222%

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 $252.
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 Crossing Rivers Health Medical Center 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.