CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Samaritan Hospital of Troy, New York

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$203
about 1.1× the $181 Medicare rate · typically $145–$294
modeled estimate · not a bill or quote
What this hospital charges insurers
$256
Above the fair price
about $53 over the fair price · 1.4× Medicare
Medicare pays $181 Fair price $203 This hospital $256 Cash price $394 Hospital's list price $501

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 $256

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 $203 (about 1.1× the $181 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $256, or about $394 in cash — above the fair price. Located in Troy, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $203. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $106 - $392 58%
Blue Cross Blue Shieldmajor $146 - $609 81%
Aetnamajor $137 - $392 76%
Cignamajor $392 - $782 216%
Humanamajor $102 - $392 56%
Kaiser Permanentemajor $392 216%
Ambetter (Centene) $392 216%
AmeriHealth $392 216%
AvMed $392 216%
Bright Health $392 216%
CareSource $392 216%
Clover Health $392 216%
Dean Health Plan $392 216%
Fidelis Care $392 216%
Friday Health $392 216%
GEHA $390 - $392 215%
Geisinger $392 216%
Harvard Pilgrim $392 216%
Health Net $392 216%
HealthLink $392 216%
HealthPartners $392 - $782 216%
Independent Health $392 - $518 216%
MagnaCare $392 - $518 216%
Medica $392 216%
Medical Mutual $390 - $392 215%
Meridian $392 216%
Moda Health $392 216%
Molina $392 216%
MVP Health Care $256 - $392 141%
Oscar Health $392 216%
PacificSource $392 216%
Paramount $392 216%
Presbyterian $392 216%
Priority Health $392 - $782 216%
Providence Health Plan $392 216%
Sanford Health Plan $392 216%
Security Health Plan $392 216%
SelectHealth $392 216%
Sentara $392 216%
Tufts Health Plan $392 - $782 216%
UCare $392 216%
UniCare $256 - $392 141%
UPMC Health Plan $392 216%
WellCare $392 216%
WellMed $392 216%
WellSense $392 216%
+ 1047 smaller / regional plans $106 - $782
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2215 Burdett Avenue, Troy, NY 12180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals