CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Healthalliance Hospital Marys Avenue Campus

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$298

about 1.6× the $181 Medicare rate · typically $214–$341

modeled estimate · not a bill or quote

What this hospital charges insurers

$231

Below the fair price — a good deal

about $67 under the fair price · 1.3× Medicare

Medicare pays $181 Fair price $298 This hospital $231 Cash price $423 Hospital's list price $423

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 $231

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 $298 (about 1.6× the $181 Medicare rate). Healthalliance Hospital Marys Avenue Campus charges insurers about $231, or about $423 in cash — below the fair price — a good deal. Located in Kingston, 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	$326 - $384	180%
Blue Cross Blue Shieldmajor	$173 - $402	95%
Aetnamajor	$220 - $275	121%
CDPHP	$165 - $176	91%
MagnaCare	$279 - $696	154%
Molina	$232	128%
MVP Health Care	$220 - $727	121%
+ 11 smaller / regional plans	$220 - $423

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

Excludes 4 rental-network / third-party entries (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 423), 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 Healthalliance Hospital Marys Avenue Campus 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 Healthalliance Hospital Marys Avenue Campus

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

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