CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St Francis Hospital & Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$113
about 0.6× the $181 Medicare rate · typically $99–$187
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
Above the fair price
about $25 over the fair price · 0.8× Medicare
Medicare pays $181 Fair price $113 This hospital $138 Cash price $307 Hospital's list price $441

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 5 of 8 other CT hospitals charge more for the same procedure.

Cheapest $129 Priciest $205

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $113 (about 0.6× the $181 Medicare rate). St Francis Hospital & Medical Center charges insurers about $138, or about $307 in cash — above the fair price. Located in Hartford, CT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $113. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

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

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 $51 - $425 28%
Blue Cross Blue Shieldmajor $51 - $244 28%
Aetnamajor $51 - $359 28%
Cignamajor $51 - $388 28%
Humanamajor $51 - $142 28%
Kaiser Permanentemajor $117 65%
Ambetter (Centene) $51 - $70 28%
Clover Health $138 76%
Dean Health Plan $330 182%
GEHA $379 209%
Harvard Pilgrim $247 - $379 136%
Health Net $51 - $299 28%
HealthPartners $51 - $315 28%
MagnaCare $315 174%
Meridian $51 - $138 28%
Molina $51 - $70 28%
MVP Health Care $330 182%
Paramount $51 - $330 28%
Presbyterian $51 - $138 28%
Tufts Health Plan $51 - $312 28%
UniCare $222 - $244 122%
WellMed $138 76%
WellSense $51 - $70 28%
+ 372 smaller / regional plans $51 - $485
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals