CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Arnot Ogden Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$183

about 1.0× the $181 Medicare rate · typically $168–$206

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $183 Cash price $107 Hospital's list price $181

How we calculate the fair BaseRate →

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	$122 - $206	67%
Blue Cross Blue Shieldmajor	$89 - $536	49%
Aetnamajor	$133 - $206	73%
Cignamajor	$110	61%
Humanamajor	$159 - $207	88%
AmeriHealth	$210	116%
Fidelis Care	$97 - $206	53%
Geisinger	$103 - $206	57%
Independent Health	$115	63%
MVP Health Care	$110	61%
UPMC Health Plan	$122	67%
+ 7 smaller / regional plans	$127 - $533

Government programs also on file: Military & VA.

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 107), 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 Arnot Ogden Medical Center 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 Arnot Ogden Medical Center

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

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