Psychiatric evaluation (first visit)
Facility: North Country Hospital and Health Center
Billing Code: 90791 (CPT)
This hospital's typical commercial price is $173 compared to the $130 fair price benchmark.
1-Star CMS clinical quality rating paired with 1.33× fair market pricing.
Highest price of the 7 VT hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 7 VT hospitals with a price for this procedure. Full list below.
A fair price for a Psychiatric evaluation (first visit) is about $130 (about 0.7× the $181 Medicare rate). North Country Hospital and Health Center charges insurers about $173, or about $246 in cash — above the fair price. Located in Newport, 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 $130. 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.
3 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 | $173 | 95% |
| Blue Cross Blue Shieldmajor | $162 - $208 | 89% |
| Cignamajor | $169 - $198 | 93% |
| Harvard Pilgrim | $195 | 108% |
| MVP Health Care | $159 - $200 | 88% |
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 North Country Hospital and Health Center
Compare: Psychiatric evaluation (first visit) at other VT hospitals
- Grace Cottage Hospital · Townshend $111
- Brattleboro Memorial Hospital · Brattleboro $154
- Southwestern Vermont Medical Center · Bennington $162
- Central Vermont Medical Center · Barre $165
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $165
- Northeastern Vermont Regional Hospital · Saint Johnsbury $173
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at North Country Hospital and Health Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $112
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $112).
Self-Pay Cash Rate ($246) Beats Your Bill
North Country Hospital and Health Center's published 45 CFR § 180 self-pay cash rate is $246 (vs. $173 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $130 Fair BaseRate ($181 Medicare)
Your bill ($308) is $178 above the denoised Fair BaseRate ($130) and 1.7× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.