CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Maimonides Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$228

about 1.3× the $181 Medicare rate · typically $155–$310

modeled estimate · not a bill or quote

What this hospital charges insurers

$150

Below the fair price — a good deal

about $78 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $228 This hospital $150 Cash price $503 Hospital's list price $503

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 5 charge more and 3 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.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychiatric evaluation (first visit) is about $228 (about 1.3× the $181 Medicare rate). Maimonides Medical Center charges insurers about $150, or about $503 in cash — below the fair price — a good deal. Located in Brooklyn, 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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$56 - $244	31%
Blue Cross Blue Shieldmajor	$115 - $496	63%
Aetnamajor	$146 - $268	81%
Fidelis Care	$129 - $149	71%
MagnaCare	$242	133%
Molina	$186	103%
+ 10 smaller / regional plans	$42 - $674

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 503), 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 Maimonides 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 Maimonides Medical Center

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

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