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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in CA

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Hospitals
22
Min
$136.97
Median
$227.16
Max
$725.00
Range multiplier
5.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1386$64.40$285.64$1,242.0019.3×
Medicaid1262$15.60$207.00$1,242.0079.6×
Multiplan1446$53.52$315.39$1,140.2921.3×
Blue Cross Blue Shield2044$63.25$169.98$800.0012.6×
Anthem BCBS1539$63.25$178.80$243.353.8×
Kaiser Permanente1338$63.25$185.60$1,055.7016.7×
Health Net1136$128.08$227.16$980.007.7×
First Health1034$112.32$310.50$1,117.8010.0×
commercial | healthsmart | all plans729$47.60$311.79$1,115.4523.4×
Aetna1826$63.25$210.11$820.0013.0×
Cigna925$87.38$237.88$770.008.8×
commercial | sutter health | all plans525$165.60$496.80$993.606.0×
Medicare1423$63.25$188.94$309.874.9×
Molina717$128.08$227.16$900.007.0×
commercial | wcmg | all plans315$35.19$105.57$211.146.0×
brand new day410$148.30$229.43$340.742.3×
TRICARE49$148.30$227.16$227.161.5×
Humana88$63.25$165.23$201.913.2×
aids healthcare foundation28$128.08$187.73$231.701.8×
commercial | dhr | all plans26$43.68$51.52$64.401.5×
commercial | magellan | all plans46$40.80$107.08$227.405.6×
commercial | usbehavior health | all plans15$207.00$621.00$1,242.006.0×
renal payer solutions45$148.30$227.16$227.161.5×
la care health plan15$128.08$148.30$227.161.8×
commercial | connected care intel | all plans15$116.36$349.07$698.136.0×
employer direct healthcare45$148.30$318.02$318.022.1×
traditional medi-cal44$128.08$128.08$128.081.0×
commercial | hill physicians | all plans44$188.94$188.94$188.941.0×
zelis healthcare23$148.30$258.96$284.291.9×
alignment23$148.30$227.16$227.161.5×
americas choice provider network23$148.30$264.41$290.272.0×
Bright Health33$155.00$206.62$206.621.3×
commercial | us behavioral health| all plans13$68.00$114.00$379.005.6×
corvel23$148.30$258.96$284.291.9×
l.a care health plan13$128.08$227.16$227.161.8×
managed health network23$148.30$227.16$227.161.5×
naphcare23$352.10$352.10$352.101.0×
provider network of america23$148.30$272.59$299.252.0×
provider select23$148.30$269.87$296.262.0×
three rivers23$148.30$264.41$290.272.0×
usa senior care network23$148.30$227.16$227.161.5×
Workers Comp23$148.30$299.25$299.252.0×
imperial health plan22$227.16$233.98$240.791.1×
caloptima22$128.08$128.08$128.081.0×
commercial | mhn | all plans22$170.91$187.61$204.301.2×
imperial health plan ca12$148.30$194.55$240.791.6×
prime health services, inc.12$148.30$219.29$290.272.0×
healthsmart preferred care network12$148.30$220.78$293.262.0×
commercial | la care | all plans22$191.95$198.28$204.601.1×
commercial | us behavior health | all plans12$527.00$642.50$758.001.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Sharp Memorial HospitalSan DiegoCA10$1,000.00$750.00$1.00$725.00$980.00
Sharp Chula Vista Medical CenterChula VistaCA12$1,000.00$750.00$297.00$656.00$900.00
Grossmont HospitalLa MesaCA2$1,000.00$750.00$491.00$630.00$750.00
Stanford Health CareStanfordCA14$1,156.00$578.00$224.14$470.93$647.70
Woodland HealthcareWoodlandCA15$1,242.00$869.40$35.19$376.35$1,242.00
Methodist Hospital Of SacramentoSacramentoCA13$1,242.00$869.40$155.25$326.50$1,242.00
Mercy General HospitalSacramentoCA13$1,242.00$869.40$148.22$326.50$1,242.00
Mercy Hospital Of FolsomFolsomCA13$1,242.00$869.40$35.19$302.26$1,242.00
Mercy San Juan Medical CenterCarmichaelCA14$1,242.00$869.40$35.19$262.56$1,242.00
Garden Grove Hospital Medical CenterGarden GroveCA19$577.60$227.00$128.08$227.16$352.10
Huntington Beach HospitalHuntington BeachCA16$577.60$227.00$128.08$227.16$340.74
Sherman Oaks Hospital-HlthSherman OaksCA30$658.00$227.00$128.08$227.16$352.10
Mark Twain Medical CenterSan AndreasCA12$275.00$192.50$63.25$195.66$269.50
Community Hospital Of San BernardinoSan BernardinoCA14$313.00$219.10$151.88$192.12$313.00
Northridge Medical Center - RoscoeNorthridgeCA12$758.00$530.60$123.85$170.91$758.00
Saint Francis Memorial HospitalSan FranciscoCA17$379.00$265.30$40.80$162.44$546.10
St. Mary Medical CenterApple ValleyCA11$450.00$315.00$67.25$161.42$416.70
Pacifica Hospital Of The ValleySun ValleyCA13$477.00$477.00$118.00$151.50$477.00
Encino HospitalEncinoCA27$371.85$227.00$128.08$148.30$340.74
St. Josephs Medical CenterStocktonCA11$230.00$161.00$15.60$136.97$218.30
St. Josephs Behavioral Hlth CenterStocktonCA11$230.00$161.00$15.60$136.97$218.30
Tri-City Medical CenterOceansideCA0$549.00$329.40

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.