CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: North Shore Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$179
about 1.0× the $181 Medicare rate · typically $167–$219
modeled estimate · not a bill or quote
What this hospital charges insurers
$158
Below the fair price — a good deal
about $21 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $179 This hospital $158 Cash price $392 Hospital's list price $392

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.

Cheapest $135 Priciest $161

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $179 (about 1.0× the $181 Medicare rate). North Shore Medical Center charges insurers about $158, or about $392 in cash — below the fair price — a good deal. Located in Miami, FL.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $156 - $1,823 86%
Aetnamajor $75 - $283 41%
Cignamajor $68 - $196 37%
Humanamajor $147 - $157 81%
Ambetter (Centene) $292 161%
AmeriHealth $340 187%
AvMed $82 - $323 45%
Bright Health $190 105%
Devoted Health $156 86%
Molina $301 166%
Oscar Health $24 13%
+ 20 smaller / regional plans $56 - $392
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals