CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Crouse Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$226

about 1.2× the $181 Medicare rate · typically $182–$271

modeled estimate · not a bill or quote

What this hospital charges insurers

$222

About the fair price

about $4 under the fair price · 1.2× Medicare

Medicare pays $181 Fair price $226 This hospital $222 Cash price $373 Hospital's list price $373

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 $222

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 $226 (about 1.2× the $181 Medicare rate). Crouse Hospital charges insurers about $222, or about $373 in cash — about the fair price. Located in Syracuse, 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✓ Humana CignaKaiser 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	$167 - $222	92%
Blue Cross Blue Shieldmajor	$167 - $398	92%
Aetnamajor	$222	122%
Humanamajor	$222	122%
CDPHP	$222	122%
EmblemHealth	$222	122%
Fidelis Care	$167 - $376	92%
Molina	$167 - $376	92%
MVP Health Care	$222 - $465	122%
WellCare	$167 - $233	92%
+ 5 smaller / regional plans	$167 - $499

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 373), 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 Crouse 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 Crouse Hospital

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

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