CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: New London Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $181
Cash Discount Price: $148
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at New London Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$148

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $148 (82%)

Insurance Median: $181 (100%)

Cash: $148 (82% of Medicare)

Ins. Median: $181 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Wellsense Health Plan	$130 - $181	72%
Martin'S Point Health Care	$139 - $222	77%
Aetna	$142 - $279	78%
Ambetter / Centene	$142 - $218	78%
Blue Cross Blue Shield	$142 - $256	78%
Martin'S Point Generations Advantage	$142 - $168	78%
UnitedHealthcare	$142 - $286	78%
Wellcare Health Plans	$142 - $173	78%
Granite State Health Plan	$163 - $181	90%
Amerihealth Caritas Nh	$165 - $183	91%
Harvard Pilgrim Health Care Of Ne	$165 - $230	91%
Cigna	$199 - $234	110%
Tufts Health Plan	$223 - $232	123%
Coventry	$305	168%
Multiplan	$307	169%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $148.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm New London Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.