CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Emerson Hospital -

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$190
about 1.0× the $181 Medicare rate · typically $142–$243
modeled estimate · not a bill or quote
What this hospital charges insurers
$208
About the fair price
about $18 over the fair price · 1.1× Medicare
Medicare pays $181 Fair price $190 This hospital $208 Cash price $308 Hospital's list price $411

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $94 Priciest $208

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 $190 (about 1.0× the $181 Medicare rate). Emerson Hospital - charges insurers about $208, or about $308 in cash — about the fair price. Located in W Concord, 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 $209 - $411 115%
Blue Cross Blue Shieldmajor $190 - $308 105%
Aetnamajor $263 145%
Cignamajor $376 207%
Tufts Health Plan $208 115%
+ 1 smaller / regional plan $195
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 133 Old Road To 9 Acre Corner, W Concord, MA 01742
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals