CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Boston Medical Center-Brighton
Billing Code: 90791 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$218
about 1.2× the $181 Medicare rate · typically $119–$247
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $218 Cash price $200 Hospital's list price $444
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
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 | $212 - $333 | 117% |
| Aetnamajor | $325 | 179% |
| Cignamajor | $40 | 22% |
| Harvard Pilgrim | $155 | 85% |
| Tufts Health Plan | $40 | 22% |
| UniCare | $333 | 184% |
| + 6 smaller / regional plans | $336 - $475 |
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Other Procedures at Boston Medical Center-Brighton
Compare: Psychiatric evaluation (first visit) at other MA hospitals
- South Shore Hospital · South Weymouth $94
- Fairview Hospital · Great Barrington $179
- Holyoke Medical Center · Holyoke $182
- Milford Regional Medical Center · Milford $190
- Beth Israel Deaconess Hospital - Milton · Milton $190
- Southcoast Hospitals Group · Fall River $193
- Heywood Hospital - · Gardner $196
- Winchester Hospital · Winchester $196
Insurance negotiated median for the same procedure, sorted lowest first.