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

How we calculate the fair BaseRate →

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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Facility Profile & Credentials

  • Address: 10 Alice Peck Day Drive, Lebanon, NH 03766
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals