CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Gaylord Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$188
about 1.0× the $181 Medicare rate · typically $150–$268
modeled estimate · not a bill or quote
What this hospital charges insurers
$181
About the fair price
about $7 under the fair price · 1.0× Medicare
Medicare pays $181 Fair price $188 This hospital $181 Cash price $409 Hospital's list price $642

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 4 charge more and 4 charge less, among the 9 CT hospitals compared.

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 $188 (about 1.0× the $181 Medicare rate). Gaylord Hospital charges insurers about $181, or about $409 in cash — about the fair price. Located in Wallingford, 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 $141 - $760 78%
Blue Cross Blue Shieldmajor $141 - $768 78%
Aetnamajor $141 - $637 78%
Cignamajor $380 - $741 210%
Harvard Pilgrim $287 - $784 158%
+ 2 smaller / regional plans $141 - $840
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL