CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$223

about 1.2× the $181 Medicare rate · typically $157–$317

modeled estimate · not a bill or quote

What this hospital charges insurers

$222

About the fair price

about $1 under the fair price · 1.2× Medicare

Medicare pays $181 Fair price $223 This hospital $222 Cash price $335 Hospital's list price $515

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 $222

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 $223 (about 1.2× the $181 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $222, or about $335 in cash — about the fair price. Located in Mount Vernon, NY.

What each insurance company pays

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

5 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	$156 - $222	86%
Blue Cross Blue Shieldmajor	$204 - $560	112%
Aetnamajor	$458 - $512	253%
Cignamajor	$275 - $306	152%
Humanamajor	$244	135%
Fidelis Care	$204 - $357	112%
Molina	$204 - $459	112%
MVP Health Care	$204 - $419	112%
Oscar Health	$394	217%
SelectHealth	$235	130%
WellCare	$206 - $226	114%
+ 14 smaller / regional plans	$152 - $826

Government programs also on file: Medicaid.

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 335), 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 Montefiore Mount Vernon Hospital 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 Montefiore Mount Vernon Hospital

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

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