CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Boston Children's Hospital
Billing Code: 90791 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$240
about 1.3× the $181 Medicare rate · typically $153–$440
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $240 Cash price $968 Hospital's list price $968
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $386 - $1,117 | 213% |
| Blue Cross Blue Shieldmajor | $364 - $868 | 201% |
| Aetnamajor | $387 - $1,102 | 213% |
| Cignamajor | $548 - $1,231 | 302% |
| Humanamajor | $580 - $1,183 | 320% |
| Ambetter (Centene) | $408 - $830 | 225% |
| CDPHP | $316 - $1,117 | 174% |
| Harvard Pilgrim | $328 - $888 | 181% |
| Tufts Health Plan | $396 - $809 | 218% |
| + 8 smaller / regional plans | $392 - $1,183 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Boston Children's Hospital
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.