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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in GA

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Hospitals
5
Min
$164.51
Median
$177.16
Max
$192.9
Range multiplier
1.2×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare414$80.96$151.2$275.633.4×
Aetna414$114.08$173.54$312.82.7×
Blue Cross Blue Shield313$128.8$253.23$267.022.1×
Humana48$128.8$166.36$339.182.6×
Cigna38$128.8$206.54$369.422.9×
CareSource37$13.49$182.47$310.0323.0×
WellCare46$54.98$173.65$192.93.5×
peach state13$12.84$182.47$212.5916.6×
Oscar Health23$230.31$258.05$258.051.1×
amerigroup community care23$121.54$121.54$135.991.1×
alliant health plan23$244.3$257.6$257.61.1×
Medicare Advantage12$161.28$161.28$161.281.0×
blue mcr replacement12$161.28$161.28$161.281.0×
facility billing - op12$161.28$161.28$161.281.0×
healthspring mcr replacement12$162.89$163.7$164.511.0×
Ambetter12$266.11$266.11$266.111.0×
occunet12$298.37$330.63$362.881.2×
riverwood behavioral health12$177.16$199.31$221.451.3×
smarthealth12$225.79$225.79$225.791.0×
sonder health plan12$186.02$186.02$186.021.0×
americas choice provider network11$177.16$177.16$177.161.0×
Multiplan11$177.16$177.16$177.161.0×
naphcare11$274.6$274.6$274.61.0×
novanet11$177.16$177.16$177.161.0×
three rivers11$177.16$177.16$177.161.0×
devoted health11$182.47$182.47$182.471.0×
corvel11$177.16$177.16$177.161.0×
prime health services11$177.16$177.16$177.161.0×
provider select11$177.16$177.16$177.161.0×
employer direct healthcare11$248.02$248.02$248.021.0×
evernorth behavioral health11$65$65$651.0×
TRICARE11$177.16$177.16$177.161.0×
georgia workers’ compensation11$177.16$177.16$177.161.0×
clear spring health plan11$177.16$177.16$177.161.0×
centurion11$265.74$265.74$265.741.0×
Medicare11$177.16$177.16$177.161.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$368$184$80.96$192.9$312.8
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA26$1,341.1$177$12.84$177.16$369.42
UNION GENERAL HOSPITALBLAIRSVILLEGA9$349$174.5$54.98$166.59$296.65
ST. MARYS SACRED HEART HOSPITALLAVONIAGA13$65$164.51$362.88
SOUTHWELL MEDICALADELGA0$260$130

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.