CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: St John's Episcopal Hospital at South Shore

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$212
about 1.2× the $181 Medicare rate · typically $166–$272
modeled estimate · not a bill or quote
What this hospital charges insurers
$222
About the fair price
about $10 over the fair price · 1.2× Medicare
Medicare pays $181 Fair price $212 This hospital $222 Cash price $498 Hospital's list price $498

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 $212 (about 1.2× the $181 Medicare rate). St John's Episcopal Hospital at South Shore charges insurers about $222, or about $498 in cash — about the fair price. Located in Far Rockaway, 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 $143 - $222 79%
Blue Cross Blue Shieldmajor $169 - $222 93%
Aetnamajor $222 - $310 122%
Humanamajor $222 122%
Fidelis Care $222 122%
Molina $244 135%
WellCare $222 122%
+ 11 smaller / regional plans $165 - $499

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Facility Profile & Credentials

  • Address: 327 Beach 19Th Street, Far Rockaway, NY 11691
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals