CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Johnson Memorial Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 0.6× the $181 Medicare rate · typically $86–$153
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
Above the fair price
about $34 over the fair price · 0.8× Medicare
Medicare pays $181 Fair price $104 This hospital $138 Cash price $351 Hospital's list price $540

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 $104 (about 0.6× the $181 Medicare rate). Johnson Memorial Hospital charges insurers about $138, or about $351 in cash — above the fair price. Located in Stafford Springs, 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 $104. 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 $70 - $388 39%
Blue Cross Blue Shieldmajor $70 - $328 39%
Aetnamajor $70 - $707 39%
Cignamajor $70 - $582 39%
Humanamajor $70 - $142 39%
Kaiser Permanentemajor $117 - $328 65%
Ambetter (Centene) $70 39%
Clover Health $103 - $138 57%
Dean Health Plan $530 292%
GEHA $209 115%
Harvard Pilgrim $209 - $329 115%
Health Net $70 - $299 39%
HealthPartners $70 - $582 39%
MagnaCare $582 321%
Meridian $70 - $138 39%
Molina $70 39%
MVP Health Care $530 292%
Paramount $70 - $530 39%
Presbyterian $70 - $138 39%
Tufts Health Plan $70 - $312 39%
UniCare $222 - $328 122%
WellMed $103 - $138 57%
WellSense $70 39%
+ 372 smaller / regional plans $70 - $707
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: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals