CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Hospital for Special Surgery

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$219
about 1.2× the $181 Medicare rate · typically $143–$331
modeled estimate · not a bill or quote
What this hospital charges insurers
$190
Below the fair price — a good deal
about $29 under the fair price · 1.0× Medicare
Medicare pays $181 Fair price $219 This hospital $190 Cash price $250 Hospital's list price $250

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 $190

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 $219 (about 1.2× the $181 Medicare rate). Hospital for Special Surgery charges insurers about $190, or about $250 in cash — below the fair price — a good deal. 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 $147 - $377 81%
Blue Cross Blue Shieldmajor $268 - $316 148%
Aetnamajor $281 - $368 155%
Cignamajor $326 - $384 180%
Fidelis Care $110 - $170 61%
+ 4 smaller / regional plans $129 - $477

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 535 East 70Th Street, New York, NY 10021
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals