Psychiatric evaluation (first visit)
Facility: Saint Mary's Hospital
Billing Code: 90791 (CPT)
This hospital's typical commercial price is $138 compared to the $133 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.04× fair market pricing.
One of the lower prices — 5 of 8 other CT hospitals charge more for the same procedure.
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 $133 (about 0.7× the $181 Medicare rate). Saint Mary's Hospital charges insurers about $138, or about $337 in cash — about the fair price. Located in Waterbury, CT.
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
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 - $638 | 28% |
| Blue Cross Blue Shieldmajor | $51 - $244 | 28% |
| Aetnamajor | $51 - $504 | 28% |
| Cignamajor | $51 - $510 | 28% |
| Humanamajor | $51 - $142 | 28% |
| Kaiser Permanentemajor | $117 | 65% |
| Ambetter (Centene) | $51 - $70 | 28% |
| Clover Health | $103 - $138 | 57% |
| Dean Health Plan | $453 - $491 | 250% |
| GEHA | $517 - $588 | 285% |
| Harvard Pilgrim | $247 - $588 | 136% |
| Health Net | $51 - $299 | 28% |
| HealthPartners | $51 - $345 | 28% |
| MagnaCare | $318 - $345 | 175% |
| Meridian | $51 - $138 | 28% |
| Molina | $51 - $70 | 28% |
| MVP Health Care | $453 - $491 | 250% |
| Paramount | $51 - $491 | 28% |
| Presbyterian | $51 - $138 | 28% |
| Tufts Health Plan | $51 - $312 | 28% |
| UniCare | $222 - $244 | 122% |
| WellMed | $103 - $138 | 57% |
| WellSense | $51 - $70 | 28% |
| + 373 smaller / regional plans | $51 - $638 |
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.
Other Procedures at Saint Mary's Hospital
Compare: Psychiatric evaluation (first visit) at other CT hospitals
- Hartford Hospital · Hartford $129
- St Francis Hospital & Medical Center · Hartford $138
- Johnson Memorial Hospital · Stafford Springs $138
- Gaylord Hospital · Wallingford $181
- Bristol Hospital · Bristol $192
- Griffin Hospital · Derby $192
- John Dempsey Hospital of the University of Connect · Farmington $192
- Midstate Medical Center · Meriden $194
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Mary's Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $187
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $187).
Self-Pay Cash Rate ($337) Beats Your Bill
Saint Mary's Hospital's published 45 CFR § 180 self-pay cash rate is $337 (vs. $138 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $133 Fair BaseRate ($181 Medicare)
Your bill ($515) is $382 above the denoised Fair BaseRate ($133) and 2.8× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.