CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Midstate Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$192
about 1.1× the $181 Medicare rate · typically $123–$293
modeled estimate · not a bill or quote
What this hospital charges insurers
$194
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $181 Fair price $192 This hospital $194 Cash price $555 Hospital's list price $555

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

On the higher side — 7 of 8 other CT hospitals charge less.

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 $192 (about 1.1× the $181 Medicare rate). Midstate Medical Center charges insurers about $194, or about $555 in cash — about the fair price. Located in Meriden, CT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $186 103%
Blue Cross Blue Shieldmajor $117 - $129 65%
Aetnamajor $201 111%
Cignamajor $378 208%
+ 2 smaller / regional plans $186 - $298

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Facility Profile & Credentials

  • Address: 435 Lewis Avenue, Meriden, CT 06450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals