CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St Peter's Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$206
about 1.1× the $181 Medicare rate · typically $140–$290
modeled estimate · not a bill or quote
What this hospital charges insurers
$267
Above the fair price
about $61 over the fair price · 1.5× Medicare
Medicare pays $181 Fair price $206 This hospital $267 Cash price $272 Hospital's list price $307

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $143 Priciest $267

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

A fair price for a Psychiatric evaluation (first visit) is about $206 (about 1.1× the $181 Medicare rate). St Peter's Hospital charges insurers about $267, or about $272 in cash — above the fair price. Located in Albany, NY.

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 $206. 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 $48 - $618 26%
Blue Cross Blue Shieldmajor $88 - $618 49%
Aetnamajor $137 - $390 76%
Cignamajor $307 - $782 169%
Humanamajor $136 - $307 75%
Kaiser Permanentemajor $307 169%
Ambetter (Centene) $307 169%
AmeriHealth $307 169%
AvMed $307 169%
Bright Health $307 169%
CareSource $307 169%
Clover Health $307 169%
Dean Health Plan $307 169%
Fidelis Care $307 169%
Friday Health $307 169%
GEHA $307 - $390 169%
Geisinger $307 169%
Harvard Pilgrim $48 - $307 26%
Health Net $307 169%
HealthLink $307 169%
HealthPartners $307 - $782 169%
Independent Health $75 - $518 41%
MagnaCare $75 - $518 41%
Medica $307 169%
Medical Mutual $307 - $390 169%
Meridian $307 169%
Moda Health $307 169%
Molina $307 169%
MVP Health Care $256 - $307 141%
Oscar Health $307 169%
PacificSource $307 169%
Paramount $307 169%
Presbyterian $307 169%
Priority Health $307 - $782 169%
Providence Health Plan $307 169%
Sanford Health Plan $307 169%
Security Health Plan $307 169%
SelectHealth $307 169%
Sentara $307 169%
Tufts Health Plan $307 - $782 169%
UCare $307 169%
UniCare $256 - $618 141%
UPMC Health Plan $307 169%
WellCare $307 169%
WellMed $307 169%
WellSense $307 169%
+ 1049 smaller / regional plans $66 - $782
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 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: 315 South Manning Boulevard, Albany, NY 12208
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals