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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$302.00
Median
$375.20
Max
$517.65
Range multiplier
1.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield650$29.38$286.32$1,825.7962.1×
institution [10406]325$186.56$352.00$607.003.3×
UnitedHealthcare524$35.70$231.12$1,204.1733.7×
Aetna623$180.26$531.27$2,544.3614.1×
harvard pilgrim [10701]421$200.64$345.99$1,162.765.8×
Cigna618$30.33$385.44$1,103.2036.4×
Medicaid414$116.16$183.04$737.366.3×
First Health58$226.50$455.25$1,063.504.7×
tufts [11201]47$27.57$47.26$1,007.9136.6×
workers compensation [20501]47$140.80$242.80$691.704.9×
connecticare [11105]47$302.00$607.00$1,418.004.7×
upmc health plan17$143.20$375.20$559.203.9×
geisinger17$189.64$707.06$2,303.9012.1×
hne [11108]47$158.75$273.76$922.835.8×
wellpoint [11112]47$222.39$446.99$1,044.224.7×
fallon mcaid carelon hlth [29]47$302.00$607.00$1,418.004.7×
grants [20507]47$302.00$607.00$1,418.004.7×
evernorth behavioral health [27]36$241.60$383.60$1,134.404.7×
devon health16$701.68$1,838.48$2,740.083.9×
fallon connectorcare [10503]46$166.85$287.72$891.555.3×
masshealth mcd mbhp [38]36$302.00$479.50$1,418.004.7×
Multiplan35$264.00$455.25$739.502.8×
pennsylvania health and wellness15$191.47$337.35$888.014.6×
optum transplant [20601]24$352.00$479.50$607.001.7×
hsno/free care [10801]44$294.30$672.16$680.812.3×
CHAMPVA44$139.64$139.64$145.371.0×
automobile [10401]24$352.00$479.50$607.001.7×
keystone first14$186.00$400.86$864.804.6×
wellsense cc carelon hlth [20]24$352.00$479.50$607.001.7×
correctional care [11003]24$269.28$366.82$464.361.7×
wellfleet [11106]24$316.80$431.55$546.301.7×
fallon carelon hlth [28]23$302.00$986.00$1,418.004.7×
hp optum bh [32]23$302.00$986.00$1,418.004.7×
fidelis care12$180.26$202.02$223.771.2×
health partners plans12$136.76$164.12$191.471.4×
Humana22$180.26$184.04$187.821.0×
amerihealth12$595.81$595.81$595.811.0×
qualcare inc12$662.01$683.99$705.971.1×
wellpoint12$180.26$335.80$491.342.7×
wellsense mcaid carelon hlth [21]12$302.00$860.00$1,418.004.7×
occunet11$273.52$273.52$273.521.0×
clover health11$180.26$180.26$180.261.0×
naphcare11$273.52$273.52$273.521.0×
vibra11$186.00$186.00$186.001.0×
WellCare11$358.72$358.72$358.721.0×
elder health11$218.82$218.82$218.821.0×
gateway health plan11$191.47$191.47$191.471.0×
Emblem Health11$360.52$360.52$360.521.0×
point comfort11$182.35$182.35$182.351.0×
innovage11$186.00$186.00$186.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Healthalliance-ClintonLeominsterMA21$986.00$986.00$27.57$517.65$986.00
Beth Israel Deaconess - PlymouthPlymouthMA12$862.00$179.55$180.26$470.31$804.50
Chestnut Hill Benevolent AssociationChestnut HillMA19$2,796.00$35.70$375.20$2,740.08
Umass Memorial Medical CenterWorcesterMA26$607.00$607.00$37.14$345.99$672.16
Marlborough HospitalMarlboroughMA26$607.00$607.00$37.14$345.99$672.16
Harrington Memorial HospitalSouthbridgeMA22$1,418.00$1,418.00$29.38$302.00$1,418.00
Hebrew Rehabilitation CenterRoslindaleMA0$191.50$191.50
North Shore Medical CenterSalemMA0$392.40$392.40
Berkshire Medical CenterPittsfieldMA0$382.46$363.34
North Adams Regional HospitalNorth AdamsMA0$382.46$363.34
Fairview HospitalGreat BarringtonMA0$382.46$363.34

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.