CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Alice Peck Day Memorial Hospital
Billing Code: 90791 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$171
about 0.9× the $181 Medicare rate · typically $119–$413
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $171 Cash price $177 Hospital's list price $328
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 | $143 - $393 | 79% |
| Blue Cross Blue Shieldmajor | $145 - $393 | 80% |
| Aetnamajor | $393 | 217% |
| Cignamajor | $393 | 217% |
| Humanamajor | $393 | 217% |
| Ambetter (Centene) | $393 | 217% |
| AmeriHealth | $141 | 78% |
| Harvard Pilgrim | $393 | 217% |
| Tufts Health Plan | $393 | 217% |
| + 1 smaller / regional plan | $393 |
Government programs also on file: Medicaid.
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Other Procedures at Alice Peck Day Memorial Hospital
Compare: Psychiatric evaluation (first visit) at other NH hospitals
- New London Hospital · New London $176
- Cheshire Medical Center · Keene $182
- Mary Hitchcock Memorial Hospital · Lebanon $307
Insurance negotiated median for the same procedure, sorted lowest first.