CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Holyoke Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$187
about 1.0× the $181 Medicare rate · typically $175–$187
modeled estimate · not a bill or quote
What this hospital charges insurers
$182
About the fair price
about $5 under the fair price · 1.0× Medicare
Medicare pays $181 Fair price $187 This hospital $182 Cash price $206 Hospital's list price $257

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $94 Priciest $196

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

A fair price for a Psychiatric evaluation (first visit) is about $187 (about 1.0× the $181 Medicare rate). Holyoke Medical Center charges insurers about $182, or about $206 in cash — about the fair price. Located in Holyoke, MA.

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 $171 - $180 94%
Blue Cross Blue Shieldmajor $171 - $206 94%
Aetnamajor $171 94%
Cignamajor $197 109%
Tufts Health Plan $28 - $205 15%
WellCare $183 101%
WellSense $182 - $255 100%
+ 4 smaller / regional plans $171 - $204

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Facility Profile & Credentials

  • Address: 575 Beech Street, Holyoke, MA 01040
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals