CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: York Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$265
about 1.5× the $181 Medicare rate · typically $151–$291
modeled estimate · not a bill or quote
What this hospital charges insurers
$207
Below the fair price — a good deal
about $58 under the fair price · 1.1× Medicare
Medicare pays $181 Fair price $265 This hospital $207 Cash price $187 Hospital's list price $311

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $163 Priciest $241

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

A fair price for a Psychiatric evaluation (first visit) is about $265 (about 1.5× the $181 Medicare rate). York Hospital charges insurers about $207, or about $187 in cash — below the fair price — a good deal. Located in York, ME.

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 $178 98%
Blue Cross Blue Shieldmajor $445 - $557 245%
Aetnamajor $144 79%
Cignamajor $177 - $762 98%
Harvard Pilgrim $213 117%
+ 1 smaller / regional plan $200
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: 15 Hospital Drive, York, ME 03909
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals