CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Metropolitan Hospital Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$258
about 1.4× the $181 Medicare rate · typically $186–$313
modeled estimate · not a bill or quote
What this hospital charges insurers
$243
About the fair price
about $15 under the fair price · 1.3× Medicare
Medicare pays $181 Fair price $258 This hospital $243 Hospital's list price $1,538

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 $243

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 $258 (about 1.4× the $181 Medicare rate). Metropolitan Hospital Center charges insurers about $243 — about the fair price. Located in New York, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $143 - $1,230 79%
Blue Cross Blue Shieldmajor $190 - $536 105%
Aetnamajor $166 - $666 92%
Cignamajor $1,154 636%
Fidelis Care $226 - $536 125%
MagnaCare $374 - $1,154 206%
Oscar Health $285 157%
WellCare $170 94%
+ 14 smaller / regional plans $126 - $1,307
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals