CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Northeastern Vermont Regional Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$133
about 0.7× the $181 Medicare rate · typically $96–$362
modeled estimate · not a bill or quote
What this hospital charges insurers
$173
Above the fair price
about $40 over the fair price · 1.0× Medicare
Medicare pays $181 Fair price $133 This hospital $173 Cash price $150 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Highest price of the 6 VT hospitals we have prices for — worth calling around.

Cheapest $154 Priciest $173

Black dot = this hospital, among the 6 VT hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $133 (about 0.7× the $181 Medicare rate). Northeastern Vermont Regional Hospital charges insurers about $173, or about $150 in cash — above the fair price. Located in Saint Johnsbury, VT.

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 $133. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $190 105%
Blue Cross Blue Shieldmajor $74 41%
Harvard Pilgrim $186 103%
+ 1 smaller / regional plan $173

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1315 Hospital Drive, Saint Johnsbury, VT 05819
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals