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CMS Price Transparency Data Hospital file updated: 2026-04-01

Psychiatric evaluation (first visit)

Facility: Hospital for Special Care

Billing Code: 90791 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
$210Fair BaseRate (0.95× Market)
Position vs. 1.00× Fair Price5% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $200 compared to the $210 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

The BaseRate · fair price high confidence
A fair price for this
$210
about 1.2× the $181 Medicare rate · typically $135–$351
modeled estimate · not a bill or quote
What this hospital charges insurers
$200
About the fair price
about $10 under the fair price · 1.1× Medicare
Medicare pays $181 Fair price $210 This hospital $200 Cash price $437 Hospital's list price $437

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Highest price of the 9 CT hospitals we have prices for — worth calling around.

Cheapest $129 Priciest $200

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 $210 (about 1.2× the $181 Medicare rate). Hospital for Special Care charges insurers about $200, or about $437 in cash — about the fair price. Located in New Britain, 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

UnitedHealthcareBlue Cross Blue ShieldAetnaCigna 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 $225 - $263 124%
Blue Cross Blue Shieldmajor $136 - $316 75%
Aetnamajor $174 - $386 96%
Cignamajor $382 - $404 211%
+ 2 smaller / regional plans $305 - $404

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2150 Corbin Ave, New Britain, CT 06053
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL

Other Procedures at Hospital for Special Care

Compare: Psychiatric evaluation (first visit) at other CT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Hospital for Special Care (Zero PHI Required)

CMS CCN: 072004
CPT 90791
Fair BaseRate™ $210
Medicare Rate $181
Self-Pay Cash $437
Insurer Median $200
Pre-filled with Hospital for Special Care’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $159 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $159

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 = $159).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $437

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Hospital for Special Care's published 45 CFR § 180 self-pay cash rate is $437 (vs. $200 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$227 Above Fair BaseRate

Negotiate Toward $210 Fair BaseRate ($181 Medicare)

Your bill ($437) is $227 above the denoised Fair BaseRate ($210) and 2.4× the $181 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 072004

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (url) Verify on CMS Medicare.gov (CCN 072004) ↗ CMS HCRIS Cost Reports ↗
Published MRF Fileurl
Publication / Vintage2026-04-01 · 2.78 MB
Validated Rate Rows33,252 (CMS v3.0.0)
File Integrity Digestcc8adeb6bd53fd7ae384…

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.

Submit MRF Update Correction Policy