CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Montefiore New Rochelle Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$216

about 1.2× the $181 Medicare rate · typically $154–$279

modeled estimate · not a bill or quote

What this hospital charges insurers

$204

About the fair price

about $12 under the fair price · 1.1× Medicare

Medicare pays $181 Fair price $216 This hospital $204 Cash price $372 Hospital's list price $572

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 $204

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 $216 (about 1.2× the $181 Medicare rate). Montefiore New Rochelle Hospital charges insurers about $204, or about $372 in cash — about the fair price. Located in New Rochelle, NY.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 - $204	86%
Aetnamajor	$452 - $506	249%
Humanamajor	$209	115%
Fidelis Care	$190 - $245	105%
Molina	$200 - $451	110%
MVP Health Care	$204 - $419	112%
SelectHealth	$235	130%
WellCare	$194 - $206	107%
+ 11 smaller / regional plans	$151 - $522

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 372), 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 New Rochelle 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 New Rochelle Hospital

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

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