CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Niagara Falls Memorial Medical Center
Billing Code: 90791 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$161
about 0.9× the $181 Medicare rate · typically $128–$200
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $161 Cash price $113 Hospital's list price $161
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 | $126 - $196 | 69% |
| Aetnamajor | $126 - $165 | 69% |
| + 1 smaller / regional plan | $126 - $186 |
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Other Procedures at Niagara Falls Memorial Medical Center
Compare: Psychiatric evaluation (first visit) at other NY hospitals
- St Mary's Healthcare · Amsterdam $143
- Geneva General Hospital · Geneva $149
- Westfield Memorial Hospital Inc · Westfield $149
- Maimonides Medical Center · Brooklyn $150
- Long Island Community Hospital · Patchogue $152
- St James Hospital · Hornell $154
- Saratoga Hospital · Saratoga Springs $154
- Glens Falls Hospital · Glens Falls $156
Insurance negotiated median for the same procedure, sorted lowest first.