Psychiatric evaluation (first visit)
Facility: Memorial Hospital Miramar
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $246
- Cash Discount Price: $502
- vs. Medicare Baseline: 1.36x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Avmed | $55 - $326 | 30% |
| Amerihealth Caritas | $60 - $170 | 33% |
| Community Care Plan | $63 - $180 | 35% |
| Molina | $67 - $191 | 37% |
| Aetna | $74 - $291 | 41% |
| Sunshine | $75 - $446 | 41% |
| Carelon | $87 - $205 | 48% |
| Magellan Healthcare | $155 - $427 | 85% |
| Cigna | $182 - $494 | 100% |
| Humana | $185 | 102% |
| Wellcare | $196 - $202 | 108% |
| Florida Community Care | $198 | 109% |
| Solis Health Plan | $209 | 115% |
| Health Sun | $211 - $796 | 116% |
| Florida Pace Centers | $213 | 117% |
| UnitedHealthcare | $222 | 122% |
| Emerging Therapy Solutions | $223 - $637 | 123% |
| Align Senior Care | $226 | 125% |
| Longevity | $232 | 128% |
| Quality Health Management | $242 - $690 | 133% |
| Worldwide Managed Care Partners | $242 - $690 | 133% |
| Worldwide Medical Assurance | $242 - $690 | 133% |
| Allianz | $242 - $690 | 133% |
| Global Medical Management | $242 - $690 | 133% |
| Global Reach Health | $242 - $690 | 133% |
| Quebec Inc | $242 - $690 | 133% |
| National Healthcare Solutions | $242 - $690 | 133% |
| Axis | $242 - $690 | 133% |
| Desjardins Financial Security Life Assurance Company | $242 - $690 | 133% |
| Star Healthcare Network | $242 - $690 | 133% |
| World Medical Care | $242 - $690 | 133% |
| Plotkin | $242 - $690 | 133% |
| Global Health Claims | $242 - $902 | 133% |
| Dimension Health | $251 - $716 | 138% |
| Prime Health Services | $268 | 148% |
| Gallagher Bassett | $268 - $849 | 148% |
| Corvel | $268 | 148% |
| First Health | $268 | 148% |
| Employers Choice Network | $268 | 148% |
| Evernorth | $326 - $849 | 180% |
| Employers Health Network | $340 | 187% |
| Broward County | $718 - $2,726 | 396% |