CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Robert Wood Johnson University Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $271
Cash Discount Price: $120
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Robert Wood Johnson University Hospital is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.49x the Medicare baseline. Located in One Robert Wood Johnson Place, New Brunswick, NJ.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$271

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: $120 (66%)

Insurance Median: $271 (149%)

Cash: $120 (66% of Medicare)

Ins. Median: $271 (149% 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
Aetna	$84 - $372	46%
Fidelis Care	$90 - $186	50%
Wellpoint	$186 - $712	103%
Clover Health	$186	103%
Blue Cross Blue Shield	$186 - $468	103%
Humana	$186	103%
Amerihealth	$197 - $270	109%
Qualcare Inc	$214	118%
Cigna	$272 - $349	150%
First Health	$338	186%
Wellcare	$371	205%
Emblem Health	$392	216%

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 $120.
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 Robert Wood Johnson University 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.