Psychiatric evaluation (first visit)
Facility: UPMC Presbyterian Shadyside
Billing Code: 90791 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a Psychiatric evaluation (first visit) is about $172 (about 1.0× the $181 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $225, or about $266 in cash — above the fair price. Located in Pittsburgh, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $172. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $32 - $165 | 18% |
| Blue Cross Blue Shieldmajor | $165 - $1,931 | 91% |
| Aetnamajor | $80 - $168 | 44% |
| Cignamajor | $165 | 91% |
| Humanamajor | $377 | 208% |
| AmeriHealth | $165 | 91% |
| Fidelis Care | $332 | 183% |
| Geisinger | $244 | 135% |
| UPMC Health Plan | $208 - $225 | 115% |
| + 6 smaller / regional plans | $165 - $377 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at UPMC Presbyterian Shadyside
Compare: Psychiatric evaluation (first visit) at other PA hospitals
- Pennsylvania Psychiatric Institute · Harrisburg $108
- UPMC Wellsboro · Wellsboro $121
- Allegheny Valley Hospital · Natrona $123
- West Penn Hospital · Pittsburgh $123
- Canonsburg General Hospital · Canonsburg $123
- Grove City Medical Center · Grove City $123
- Forbes Hospital · Monroeville $123
- Allegheny General Hospital · Pittsburgh $130
Insurance negotiated median for the same procedure, sorted lowest first.