CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St James Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$152
about 0.8× the $181 Medicare rate · typically $122–$200
modeled estimate · not a bill or quote
What this hospital charges insurers
$154
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $181 Fair price $152 This hospital $154

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 2 charge more and 5 charge less, among the 9 NY hospitals compared.

Cheapest $143 Priciest $157

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 $152 (about 0.8× the $181 Medicare rate). St James Hospital charges insurers about $154 — about the fair price. Located in Hornell, 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 $114 - $237 63%
Blue Cross Blue Shieldmajor $55 - $530 30%
Aetnamajor $124 - $237 68%
Cignamajor $151 - $534 83%
Humanamajor $237 131%
CDPHP $376 - $433 207%
Fidelis Care $111 - $151 61%
MVP Health Care $109 - $515 60%
+ 1 smaller / regional plan $501
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals