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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in NJ

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Hospitals
15
Min
$151.99
Median
$463.05
Max
$578.63
Range multiplier
3.8×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1392$175.59$560.63$836.124.8×
Aetna1363$93.34$251$758.628.1×
Cigna1231$337.12$533.07$682.112.0×
amerihealth1326$407.68$602.84$815.812.0×
wellpoint1323$95.28$189.21$615.56.5×
fidelis care1018$108.33$175.59$615.55.7×
qualcare inc917$572.28$662.01$722.241.3×
clover health1212$175.59$178.62$199.71.1×
UnitedHealthcare312$84$178.54$3864.6×
Humana1212$175.59$179.05$209.681.2×
WellCare1111$179.39$349.42$376.532.1×
First Health1010$413.4$516$548.41.3×
Emblem Health99$307.28$311.22$547.41.8×
horizon nj health26$166.94$200.6$205.441.2×
fidelis care of nj36$93.34$142.72$197.432.1×
Medicare44$151.99$179.39$199.71.3×
jefferson health plan33$191.95$191.95$213.671.1×
oxford health plans33$386$386$3861.0×
horizon nj total care33$179.39$179.39$199.71.1×
healthspring33$184.77$184.77$205.691.1×
braven health33$179.39$179.39$199.71.1×
Ambetter33$367.75$367.75$409.381.1×
wellpoint full dual advantage33$179.39$179.39$199.71.1×
jeff nj amerihealth_ibc12$151.99$151.99$151.991.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHILDRENS SPECIALIZED HOPSITALMOUNTAINSIDENJ9$805$402.5$207$578.63$788.9
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ12$914$154.46$135.82$533.95$836.12
MONMOUTH MEDICAL CENTERLONG BRANCENJ12$858$187.73$177.84$504.59$829.77
COMMUNITY MEDICAL CENTERTOMS RIVERNJ12$858$177.94$108.45$499.36$784.98
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ12$862$182.65$139.12$491.34$732.7
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ12$862$179.55$180.26$470.31$804.5
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ12$866$141.93$108.33$463.05$776.85
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ12$866$141.93$108.33$463.05$776.85
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ12$858$178.29$189.21$456.46$778.8
SAINT BARNABAS BEHAVIORAL HEALTH CENTOMS RIVERNJ8$689$249$119.19$250$656
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ19$976.43$976.43$84$207.69$815.81
INSPIRA MEDICAL CENTER ELMERELMERNJ19$976.43$976.43$88.8$199.02$815.81
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ18$976.43$976.43$84$190.15$815.81
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ2$641$229.65$151.99$151.99$151.99
WEST JERSEY HEALTH SYSTEMVOORHEESNJ0$1,152$115.2

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.