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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
Range multiplier
5.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1386$64.4$285.64$1,24219.3×
Medicaid1262$15.6$207$1,24279.6×
Multiplan1446$53.52$315.39$1,140.2921.3×
Blue Cross Blue Shield2044$63.25$169.98$80012.6×
Anthem BCBS1539$63.25$178.8$243.353.8×
Kaiser Permanente1338$63.25$185.6$1,055.716.7×
Health Net1136$128.08$227.16$9807.7×
First Health1034$112.32$310.5$1,117.810.0×
commercial | healthsmart | all plans729$47.6$311.79$1,115.4523.4×
Aetna1826$63.25$210.11$82013.0×
Cigna925$87.38$237.88$7708.8×
commercial | sutter health | all plans525$165.6$496.8$993.66.0×
Medicare1423$63.25$188.94$309.874.9×
Molina717$128.08$227.16$9007.0×
commercial | wcmg | all plans315$35.19$105.57$211.146.0×
brand new day410$148.3$229.43$340.742.3×
TRICARE49$148.3$227.16$227.161.5×
Humana88$63.25$165.23$201.913.2×
aids healthcare foundation28$128.08$187.73$231.71.8×
commercial | dhr | all plans26$43.68$51.52$64.41.5×
commercial | magellan | all plans46$40.8$107.08$227.45.6×
commercial | usbehavior health | all plans15$207$621$1,2426.0×
renal payer solutions45$148.3$227.16$227.161.5×
la care health plan15$128.08$148.3$227.161.8×
commercial | connected care intel | all plans15$116.36$349.07$698.136.0×
employer direct healthcare45$148.3$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$148.3$258.96$284.291.9×
alignment23$148.3$227.16$227.161.5×
americas choice provider network23$148.3$264.41$290.272.0×
Bright Health33$155$206.62$206.621.3×
commercial | us behavioral health| all plans13$68$114$3795.6×
corvel23$148.3$258.96$284.291.9×
l.a care health plan13$128.08$227.16$227.161.8×
managed health network23$148.3$227.16$227.161.5×
naphcare23$352.1$352.1$352.11.0×
provider network of america23$148.3$272.59$299.252.0×
provider select23$148.3$269.87$296.262.0×
three rivers23$148.3$264.41$290.272.0×
usa senior care network23$148.3$227.16$227.161.5×
Workers Comp23$148.3$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$204.31.2×
imperial health plan ca12$148.3$194.55$240.791.6×
prime health services, inc.12$148.3$219.29$290.272.0×
healthsmart preferred care network12$148.3$220.78$293.262.0×
commercial | la care | all plans22$191.95$198.28$204.61.1×
commercial | us behavior health | all plans12$527$642.5$7581.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SHARP MEMORIAL HOSPITALSAN DIEGOCA10$1,000$750$1$725$980
SHARP CHULA VISTA MEDICAL CENTERCHULA VISTACA12$1,000$750$297$656$900
GROSSMONT HOSPITALLA MESACA2$1,000$750$491$630$750
STANFORD HEALTH CARESTANFORDCA14$1,156$578$224.14$470.93$647.7
WOODLAND HEALTHCAREWOODLANDCA15$1,242$869.4$35.19$376.35$1,242
METHODIST HOSPITAL OF SACRAMENTOSACRAMENTOCA13$1,242$869.4$155.25$326.5$1,242
MERCY GENERAL HOSPITALSACRAMENTOCA13$1,242$869.4$148.22$326.5$1,242
MERCY HOSPITAL OF FOLSOMFOLSOMCA13$1,242$869.4$35.19$302.26$1,242
MERCY SAN JUAN MEDICAL CENTERCARMICHAELCA14$1,242$869.4$35.19$262.56$1,242
GARDEN GROVE HOSPITAL MEDICAL CENTERGARDEN GROVECA19$577.6$227$128.08$227.16$352.1
HUNTINGTON BEACH HOSPITALHUNTINGTON BEACHCA16$577.6$227$128.08$227.16$340.74
SHERMAN OAKS HOSPITAL-HLTHSHERMAN OAKSCA30$658$227$128.08$227.16$352.1
MARK TWAIN MEDICAL CENTERSAN ANDREASCA12$275$192.5$63.25$195.66$269.5
COMMUNITY HOSPITAL OF SAN BERNARDINOSAN BERNARDINOCA14$313$219.1$151.88$192.12$313
NORTHRIDGE MEDICAL CENTER - ROSCOENORTHRIDGECA12$758$530.6$123.85$170.91$758
SAINT FRANCIS MEMORIAL HOSPITALSAN FRANCISCOCA17$379$265.3$40.8$162.44$546.1
ST. MARY MEDICAL CENTERAPPLE VALLEYCA11$450$315$67.25$161.42$416.7
PACIFICA HOSPITAL OF THE VALLEYSUN VALLEYCA13$477$477$118$151.5$477
ENCINO HOSPITALENCINOCA27$371.85$227$128.08$148.3$340.74
ST. JOSEPHS MEDICAL CENTERSTOCKTONCA11$230$161$15.6$136.97$218.3
ST. JOSEPHS BEHAVIORAL HLTH CENTERSTOCKTONCA11$230$161$15.6$136.97$218.3
TRI-CITY MEDICAL CENTEROCEANSIDECA0$549$329.4

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.