CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Masonicare Health Center

Billing Code: 90791 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$185

about 1.0× the $181 Medicare rate · typically $121–$381

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $185 Hospital's list price $300

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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	$330	182%
Aetnamajor	$625	345%
Cignamajor	$330	182%

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Masonicare Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

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

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