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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$148.51
Median
$181.48
Max
$1,026.79
Range multiplier
6.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield575$54.82$177.13$698.4712.7×
UnitedHealthcare957$42.00$195.83$3,040.0072.4×
Emblem Health339$60.38$186.33$744.3012.3×
Aetna831$95.00$198.12$667.597.0×
Medicaid228$43.62$142.70$1,333.3930.6×
carelon128$43.10$85.45$91.442.1×
Healthfirst328$102.00$189.39$1,151.3411.3×
Empire BCBS324$106.60$193.16$533.065.0×
Medicare222$109.56$152.62$243.722.2×
mvp416$110.00$159.57$479.484.4×
Cigna513$143.00$201.44$636.754.5×
fidelis care313$120.11$148.38$199.641.7×
magnacare59$162.56$498.40$592.003.6×
fidelis29$155.74$213.10$606.483.9×
capital district physicians' health plan28$164.03$164.03$267.011.6×
community care behavorial health university of pittsburgh medical center18$97.50$110.00$122.501.3×
oxford38$167.64$195.51$549.353.3×
beacon health17$110.85$146.45$172.301.6×
Molina47$60.38$207.24$1,111.4518.4×
community care behavorial health healthchoices16$97.50$110.00$122.501.3×
mvp 290016$109.40$137.33$485.674.4×
[fidelis]16$160.66$175.03$189.391.2×
Humana56$134.24$168.65$221.561.7×
Multiplan35$228.60$560.70$666.002.9×
excellus 220114$120.11$140.37$164.031.4×
[metroplus]14$281.16$440.44$647.712.3×
[oxford]14$491.34$554.66$625.901.3×
fidelis 515514$167.60$195.62$228.311.4×
independent health 515614$184.20$215.38$251.821.4×
univera14$123.88$139.91$182.171.5×
centers plan for healthy living23$157.10$175.00$190.131.2×
choicecare12$155.44$170.60$185.761.2×
Anthem BCBS12$133.54$133.54$133.541.0×
martins point22$164.03$164.03$164.031.0×
amerihealth12$199.64$199.64$199.641.0×
american health plans12$154.11$172.12$190.131.2×
metroplus12$155.74$160.42$165.101.1×
affinity12$106.60$106.60$106.601.0×
6 degrees health12$198.12$395.06$592.003.0×
1199seiu national benefit funds12$343.20$381.14$419.081.2×
partners health plan12$175.00$175.00$175.001.0×
[magnacare]12$532.80$562.40$592.001.1×
wellpath22$197.83$197.83$197.831.0×
urn12$180.34$378.77$577.203.2×
VA Health22$141.31$141.31$141.311.0×
valueoptions12$144.00$144.00$144.001.0×
emblemhealth12$180.62$227.78$274.931.5×
capital district physicians health plan (cdphp) 514912$375.71$404.58$433.441.2×
vns12$175.00$194.05$213.101.2×
capital district (cdphp)12$636.75$636.75$636.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Memorial Hospital For Cancer And AllNew YorkNY18$740.00$740.00$60.38$228.60$744.30
St. Josephs Medical CenterYonkersNY15$976.00$175.00$172.00$213.10$564.20
Helen Hayes HospitalWest HaverstrawNY10$849.00$849.00$104.94$192.90$1,878.00
Nassau University Medical CenterEast MeadowNY13$698.47$488.93$60.38$181.48$698.47
Elizabethtown Community HospitalElizabethtownNY15$623.00$623.00$110.00$164.03$560.70
Champlain Valley Physicians HospitalPlattsburghNY16$347.00$347.00$110.00$164.03$398.06
Fredrick Ferris Thompson HospitalCanandaiguaNY13$43.62$151.00$613.98
Westfield Memorial HospitalWestfieldNY15$420.00$92.40$42.00$148.51$3,040.00
Stony Brook University HospitalStony BrookNY12$3,558.81$3,558.81$86.95$1,026.79$2,550.00
Nyu Langone HospitalsNew YorkNY0$720.35$45.61
Eastern Long Island HospitalGreenportNY0$719.95$136.79

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.