CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: University Medical Center
Billing Code: 90791 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90791
- Insurance Median: $191
- Cash Discount Price: $173
- vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at University Medical Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$173
Average discount available for prompt cash payment at this facility.
Insurance Median
$191
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: $173 (95%)
Insurance Median: $191 (105%)
Cash: $173 (95% of Medicare)
Ins. Median: $191 (105% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantra Freedom | $128 - $178 | 71% |
| Aetna | $128 - $311 | 71% |
| Aig | $129 - $311 | 71% |
| Cement Masons & Plasters H&W | $129 - $261 | 71% |
| Beech Street | $129 - $311 | 71% |
| P3 Health Partners | $142 - $323 | 78% |
| Mgm Grand | $142 - $261 | 78% |
| City of North Las Vegas | $142 - $371 | 78% |
| Sierra Health and Life | $142 - $386 | 78% |
| Las Vegas Metro Police Dept | $142 - $261 | 78% |
| Selecthealth | $142 - $263 | 78% |
| State of Nevada | $142 - $323 | 78% |
| Arroweye Solutions | $142 - $323 | 78% |
| Allwell | $142 - $178 | 78% |
| Marshall Retail Group | $142 - $323 | 78% |
| UnitedHealthcare | $142 - $206 | 78% |
| Blue Cross Blue Shield | $142 - $386 | 78% |
| Operating Engineers | $142 - $261 | 78% |
| Stations Casinos | $142 - $323 | 78% |
| Pli Las Vegas | $142 - $323 | 78% |
| P3 Health Partners Nevada | $142 - $178 | 78% |
| Truline Corporation | $142 - $323 | 78% |
| Teacher's Health Trust | $142 - $323 | 78% |
| Mirage Las Vegas | $142 - $261 | 78% |
| Las Vegas Sand Corps | $142 - $216 | 78% |
| Healthcare Partners of Nevada | $142 - $247 | 78% |
| Venetian/Palazzo | $142 - $323 | 78% |
| Caesar's Entertainment | $142 - $261 | 78% |
| VA Pc3 (VA Choice) | $142 - $514 | 78% |
| Wynn Resorts | $142 - $261 | 78% |
| Golden Entertainment | $142 - $323 | 78% |
| Clark County Self Funded | $142 - $261 | 78% |
| Clark County EPO | $142 - $261 | 78% |
| Rebel Oil Company | $142 - $323 | 78% |
| Dignity Health | $142 - $323 | 78% |
| City of Henderson | $142 - $261 | 78% |
| Molina | $142 - $386 | 78% |
| Golden Nugget Hotel & Casino | $142 - $323 | 78% |
| Resorts World Las Vegas | $142 - $261 | 78% |
| Alignment Health | $150 - $206 | 83% |
| Scan | $150 - $308 | 83% |
| California Ironwork Field Welfare | $156 - $198 | 86% |
| Great West Healthcare | $156 - $371 | 86% |
| Cirque De Soleil | $156 - $371 | 86% |
| Kaiser | $156 - $371 | 86% |
| Cigna | $156 - $371 | 86% |
| National Security Technologies | $156 - $371 | 86% |
| Southwest Carpenters H&W | $156 - $198 | 86% |
| Sheet Metal Workers | $156 - $198 | 86% |
| So Ca Pipe Trades H&W | $156 - $198 | 86% |
| Employee Painters Trust | $158 - $261 | 87% |
| Mail Handlers Benefit Plan | $158 - $250 | 87% |
| Coventry | $158 - $250 | 87% |
| Clark County Firefighters 1908 | $158 - $261 | 87% |
| Nevada Energy | $158 - $218 | 87% |
| Geha | $158 - $250 | 87% |
| Health Net | $160 - $529 | 88% |
| Three Rivers Provider Network | $160 - $305 | 88% |
| First Health | $160 - $305 | 88% |
| Teamsters Local 14 | $170 - $261 | 94% |
| Laborers Health and Welfare | $170 - $261 | 94% |
| Boyd Group | $170 - $261 | 94% |
| Ufcw Local 711 Retail Clerks | $170 - $261 | 94% |
| Bricklayers Local 13 | $170 - $261 | 94% |
| Electrical Workers | $170 - $261 | 94% |
| Teamsters Local 631 | $170 - $261 | 94% |
| Plumbers & Pipefitters Loc 525 | $170 - $261 | 94% |
| Teamsters Local 986 | $170 - $261 | 94% |
| Culinary Workers Hwf | $175 - $261 | 97% |
| Surest | $180 | 99% |
| American Postal Workers Health Plan | $180 | 99% |
| Clark County Detention Center | $187 | 103% |
| Hometown Health Plan of Nevada | $199 | 110% |
| One Health Plan | $199 - $250 | 110% |
| Laughlin Coalition | $200 - $243 | 110% |
| Ambetter / Centene | $211 - $386 | 116% |
| Jw Marriott | $214 - $355 | 118% |
| Prominence Health Plan | $214 - $355 | 118% |
| Nevada Preferred Professionals | $214 - $355 | 118% |
| Universal Health Network (Uhn) | $214 - $355 | 118% |
| Hometown Health Plan Nevada | $214 - $250 | 118% |
| Health Direct Partners | $235 - $286 | 130% |
| Las Vegas Firefighters 1285 | $261 | 144% |
| Nevada Hand | $261 | 144% |
| Switch | $261 | 144% |
| Zuffa | $308 - $373 | 170% |