CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Garnet Health Medical Center
Billing Code: 90791 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$268
about 1.5× the $181 Medicare rate · typically $216–$454
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $268 Cash price $272 Hospital's list price $1,086
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $222 - $586 | 122% |
| Fidelis Care | $226 | 125% |
| Geisinger | $554 | 306% |
| MagnaCare | $389 - $623 | 215% |
| MVP Health Care | $768 | 424% |
| WellCare | $227 | 125% |
| + 4 smaller / regional plans | $388 - $737 |
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Other Procedures at Garnet Health 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.