CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Central Maine Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$175

about 1.0× the $181 Medicare rate · typically $155–$216

modeled estimate · not a bill or quote

What this hospital charges insurers

$175

About the fair price

1.0× Medicare

Medicare pays $181 Fair price $175 This hospital $175 Cash price $175 Hospital's list price $549

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

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 $175 (about 1.0× the $181 Medicare rate). Central Maine Medical Center charges insurers about $175, or about $175 in cash — about the fair price. Located in Lewiston, 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✓ Humana CignaKaiser 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	$175	97%
Blue Cross Blue Shieldmajor	$175 - $549	97%
Aetnamajor	$175	97%
Humanamajor	$175	97%
WellCare	$175	97%
+ 1 smaller / regional plan	$175

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 175), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Central Maine Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Central Maine Medical Center

Compare: Psychiatric evaluation (first visit) at other ME hospitals

Insurance negotiated median for the same procedure, sorted lowest first.