CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Robert Wood Johnson University Hospital at Rahway

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$200

about 1.1× the $181 Medicare rate · typically $181–$245

modeled estimate · not a bill or quote

What this hospital charges insurers

$176

Below the fair price — a good deal

about $24 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $200 This hospital $176 Cash price $118 Hospital's list price $914

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 0 charge more and 3 charge less, among the 9 NJ hospitals compared.

Cheapest $152 Priciest $176

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $200 (about 1.1× the $181 Medicare rate). Robert Wood Johnson University Hospital at Rahway charges insurers about $176, or about $118 in cash — below the fair price — a good deal. Located in Rahway, NJ.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$176 - $503	97%
Aetnamajor	$111 - $537	61%
Cignamajor	$446 - $596	246%
Humanamajor	$176	97%
AmeriHealth	$433 - $512	239%
Clover Health	$176	97%
Fidelis Care	$104 - $176	57%
WellCare	$349	192%
+ 2 smaller / regional plans	$307 - $614

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 118), 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 Robert Wood Johnson University Hospital at Rahway 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 Robert Wood Johnson University Hospital at Rahway

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

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