CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Northeast Georgia Medical Center Habersham

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$159

about 0.9× the $181 Medicare rate · typically $154–$253

modeled estimate · not a bill or quote

What this hospital charges insurers

$159

About the fair price

0.9× Medicare

Medicare pays $181 Fair price $159 This hospital $159 Cash price $480 Hospital's list price $1,044

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $101 Priciest $177

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychiatric evaluation (first visit) is about $159 (about 0.9× the $181 Medicare rate). Northeast Georgia Medical Center Habersham charges insurers about $159, or about $480 in cash — about the fair price. Located in Demorest, GA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$156	86%
Aetnamajor	$159	88%
Cignamajor	$160	88%
Humanamajor	$163	90%
Amerigroup	$140	77%

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 (about 480), 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 Northeast Georgia Medical Center Habersham 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.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northeast Georgia Medical Center Habersham

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

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