CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Saratoga Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$183

about 1.0× the $181 Medicare rate · typically $121–$244

modeled estimate · not a bill or quote

What this hospital charges insurers

$154

Below the fair price — a good deal

about $29 under the fair price · 0.9× Medicare

Medicare pays $181 Fair price $183 This hospital $154 Cash price $229 Hospital's list price $457

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 2 charge more and 5 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.

A fair price for a Psychiatric evaluation (first visit) is about $183 (about 1.0× the $181 Medicare rate). Saratoga Hospital charges insurers about $154, or about $229 in cash — below the fair price — a good deal. Located in Saratoga Springs, 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	$60 - $411	33%
Blue Cross Blue Shieldmajor	$70 - $457	39%
Aetnamajor	$126 - $189	69%
Cignamajor	$136 - $242	75%
CDPHP	$96 - $535	53%
Fidelis Care	$78 - $535	43%
MagnaCare	$63 - $434	35%
MVP Health Care	$49 - $476	27%
+ 5 smaller / regional plans	$60 - $559

Government programs also on file: Medicare, Medicaid, Military & VA.

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 229), 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 Saratoga 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 Saratoga Hospital

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

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