CMS Price Transparency Data
Psychiatric evaluation (first visit)
Facility: Little Falls Hospital
Billing Code: 90791 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$181
about 1.0× the $181 Medicare rate · typically $124–$301
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $181 Cash price $36 Hospital's list price $132
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 | $66 - $204 | 36% |
| Blue Cross Blue Shieldmajor | $22 - $309 | 12% |
| Aetnamajor | $71 - $204 | 39% |
| Cignamajor | $24 - $282 | 13% |
| Humanamajor | $71 - $204 | 39% |
| CDPHP | $68 - $204 | 37% |
| Fidelis Care | $71 - $204 | 39% |
| MVP Health Care | $68 - $204 | 37% |
| + 1 smaller / regional plan | $66 - $204 |
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Other Procedures at Little Falls Hospital
Compare: Psychiatric evaluation (first visit) at other NY hospitals
- St Mary's Healthcare · Amsterdam $143
- Geneva General Hospital · Geneva $149
- Westfield Memorial Hospital Inc · Westfield $149
- Maimonides Medical Center · Brooklyn $150
- Long Island Community Hospital · Patchogue $152
- St James Hospital · Hornell $154
- Saratoga Hospital · Saratoga Springs $154
- Glens Falls Hospital · Glens Falls $156
Insurance negotiated median for the same procedure, sorted lowest first.