CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Newton Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$199
about 1.1× the $181 Medicare rate · typically $180–$243
modeled estimate · not a bill or quote
What this hospital charges insurers
$243
Above the fair price
about $44 over the fair price · 1.3× Medicare
Medicare pays $181 Fair price $199 This hospital $243 Cash price $176 Hospital's list price $1,285

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $152 Priciest $243

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 $199 (about 1.1× the $181 Medicare rate). Newton Medical Center charges insurers about $243, or about $176 in cash — above the fair price. Located in Newton, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $199. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $102 - $573 56%
Blue Cross Blue Shieldmajor $79 - $881 44%
Aetnamajor $103 - $771 57%
Cignamajor $183 - $1,028 101%
Humanamajor $126 - $707 69%
Kaiser Permanentemajor $126 - $707 69%
AmeriHealth $391 216%
GEHA $102 - $573 56%
Harvard Pilgrim $102 - $573 56%
Health Net $114 - $1,092 63%
MagnaCare $114 - $1,028 63%
MVP Health Care $183 - $1,028 101%
Oscar Health $126 - $707 69%
Tufts Health Plan $183 - $1,028 101%
+ 72 smaller / regional plans $95 - $1,285
Government programs also on file: Medicaid.
Excludes 23 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals