CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Penobscot Valley Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$262
about 1.4× the $181 Medicare rate · typically $153–$328
modeled estimate · not a bill or quote
What this hospital charges insurers
$197
Below the fair price — a good deal
about $65 under the fair price · 1.1× Medicare
Medicare pays $181 Fair price $262 This hospital $197 Cash price $333 Hospital's list price $416

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 4 charge more and 4 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 $262 (about 1.4× the $181 Medicare rate). Penobscot Valley Hospital charges insurers about $197, or about $333 in cash — below the fair price — a good deal. Located in Lincoln, ME.

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 $192 - $333 106%
Blue Cross Blue Shieldmajor $197 - $308 109%
Aetnamajor $196 - $399 108%
Cignamajor $391 216%
Humanamajor $194 107%
Harvard Pilgrim $397 219%
WellCare $194 107%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals