CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: South Brooklyn Health

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $287
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at South Brooklyn Health is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.58x the Medicare baseline. Located in 2601 Ocean Parkway, Brooklyn, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$287

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Insurance Median: $287 (158%)
Ins. Median: $287 (158% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Healthfirst $126 - $587 69%
Carelon $140 - $407 77%
United Behavioral Health $143 - $287 79%
Emblem $157 - $977 87%
United $159 - $1,230 88%
Aetna $166 - $1,171 92%
Wellcare $170 94%
Oxford $184 - $923 101%
Blue Cross Blue Shield $190 - $1,626 105%
Elderplan $190 105%
Vaccn $190 105%
Vnsny $190 - $266 105%
Centers Plan For Healthy Living $198 109%
Fidelis $226 - $587 125%
Amidacare $261 144%
Metroplus $261 - $587 144%
Senior Whole Health $261 144%
Affinity $266 - $587 147%
Carelon (Amida Care) $266 147%
Oscar $285 157%
Magnacare $374 - $1,154 206%
Centerlight $769 424%
Local 1199 $796 - $1,307 439%
Cigna $1,154 - $1,500 636%
Multiplan $1,230 678%
Villagecare Max $1,307 721%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2601 Ocean Parkway, Brooklyn, NY 11235
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals