Psychiatric evaluation (first visit)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 90791 (CPT)
- CPT Billing Code: 90791
- Insurance Median: $725
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.00x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 400% of the Medicare baseline (a markup of 300%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| UnitedHealthcare | $125 - $687 | 69% |
| Americhoice | $125 | 69% |
| Horizon | $134 - $677 | 74% |
| Wellcare | $134 | 74% |
| Self Pay | $145 | 80% |
| Tricare | $161 | 89% |
| Devoted Health Plan | $206 | 114% |
| Amerigroup | $251 | 138% |
| Global Exchange Managed Care | $300 | 165% |
| Magnacare | $387 - $870 | 213% |
| Health Partners Plan | $399 | 220% |
| Cigna | $406 - $487 | 224% |
| Evernorth | $484 - $756 | 267% |
| Qualcare Commercial | $484 | 267% |
| Great West Life | $487 | 269% |
| Aetna | $556 - $799 | 307% |
| Amerihealth | $622 - $813 | 343% |
| Active Care Plus | $629 | 347% |
| Qualcare Wc | $629 | 347% |
| Mutual of Omaha | $629 | 347% |
| First McO | $629 | 347% |
| Donio Trucking | $677 | 373% |
| Consumer Health Network (Chn) | $677 - $870 | 373% |
| Devon/ Ullicare | $725 | 400% |
| Oxford | $725 | 400% |
| Private Healthcare System (PHCS) | $774 | 427% |
| Coventry Health Care | $774 | 427% |
| Blue Cross Blue Shield | $796 | 439% |
| Prime Health Services | $822 | 453% |
| Health Payors Org | $822 | 453% |
| Three Rivers Provider Network (Trpn) | $822 | 453% |
| Metrahealth of Nj | $822 | 453% |
| Health South | $822 | 453% |
| Provider Select, Inc | $870 | 480% |
| Choice Care | $870 | 480% |
| Health Network Inc | $870 | 480% |
| Active Care Nj Pip | $870 | 480% |
| Beech Street | $870 | 480% |
| Galaxy Health Network | $870 | 480% |
| Intergroup Preferred Program | $870 | 480% |
| Department of Corrections | $870 | 480% |
| Multiplan | $870 | 480% |
| McS Commercial | $870 | 480% |
| Metracomp | $870 | 480% |
| Atlantis Health Plan | $894 | 493% |
| Master Care Inc | $894 | 493% |
| Health Network America | $919 | 507% |
| McSi/Mrsi No Fault | $919 | 507% |
| Community Care Network | $919 | 507% |
| Advance Healthcare System | $919 | 507% |
| McSi/Mrsi Worker's Comp | $919 | 507% |
| National Health Plan | $919 | 507% |