CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Ira Davenport Memorial Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$196

about 1.1× the $181 Medicare rate · typically $163–$207

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $196 Cash price $107 Hospital's list price $181

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$133 - $186	73%
Blue Cross Blue Shieldmajor	$78 - $536	43%
Aetnamajor	$133 - $158	73%
Cignamajor	$110	61%
Humanamajor	$159 - $190	88%
AmeriHealth	$192	106%
Fidelis Care	$97 - $190	53%
Geisinger	$103	57%
Independent Health	$115	63%
MVP Health Care	$110	61%
UPMC Health Plan	$122	67%
+ 6 smaller / regional plans	$109 - $582

Government programs also on file: Military & VA.

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 107), 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 Ira Davenport Memorial 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 Ira Davenport Memorial Hospital

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

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