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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in OH

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Hospitals
21
Min
$143.67
Median
$283.36
Max
$333.03
Range multiplier
2.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio1359$142.69$257.94$457.13.2×
Aetna1453$148.95$283.36$552.443.7×
Anthem BCBS1249$148.95$300.56$438.162.9×
Cigna1240$148.95$301.83$476.893.2×
UnitedHealthcare1437$87.89$304.95$450.485.1×
ohio health choice936$328.9$439.93$587.71.8×
summacare1222$148.95$148.95$369.382.5×
the health plan1221$148.95$148.95$430.982.9×
clarity918$283.36$313.44$354.21.3×
configurenet918$455.4$587.7$587.71.3×
immergrun918$253$326.5$326.51.3×
amish aid community plan918$253$300.38$300.381.2×
amish church fund and workers aid plan918$253$300.38$300.381.2×
beech street918$404.8$522.4$587.71.5×
buckeye plain ministries918$253$300.38$300.381.2×
private healthcare system918$435.16$561.58$561.581.3×
century health network918$430.1$555.05$555.051.3×
christian healthcare ministries918$253$326.5$326.51.3×
First Health918$419.98$541.99$541.991.3×
fortified provider network918$455.4$587.7$587.71.3×
Multiplan918$455.4$587.7$587.71.3×
healthsmart918$328.9$424.45$424.451.3×
ohio preferred network918$404.8$522.4$587.71.5×
Humana1415$136.64$148.95$156.71.1×
Molina1315$148.95$148.95$252.621.7×
Ambetter1213$268.11$268.11$283.361.1×
CareSource1213$268.11$268.11$273.241.0×
perennial advantage of ohio1212$156.39$156.39$156.391.0×
devoted health1212$148.95$148.95$148.951.0×
medical mutual traditional/health ohio612$354.2$354.2$457.11.3×
paramount1212$153.42$153.42$153.421.0×
primetime health plan1212$148.95$148.95$148.951.0×
valor health plans1212$156.39$156.39$156.391.0×
WellCare1212$148.95$148.95$148.951.0×
sunrise plan communities510$326.5$326.5$326.51.0×
university health employee plan (contigo)910$202.4$257.1$261.21.3×
aultcare910$297.9$346.56$359.151.2×
jp farley89$274.76$303.6$313.441.1×
Medicare18$136.64$156.7$250.721.8×
enterprise group planning48$283.36$283.36$354.21.3×
health ohio network48$293.48$293.48$339.021.2×
sunrise plain communities48$253$253$2531.0×
Medicaid17$87.89$87.89$122.881.4×
Blue Cross Blue Shield11$185.64$185.64$185.641.0×
TRICARE11$157.42$157.42$157.421.0×
mclaren commercial ins11$125.18$125.18$125.181.0×
u of m health plan11$157.14$157.14$157.141.0×
sidecar health11$421.03$421.03$421.031.0×
mi amish medical board11$156.7$156.7$156.71.0×
hap - hmo11$146.59$146.59$146.591.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UH AHUJA MEDICAL CENTERBEACHWOODOH38$653$489.75$148.95$333.03$587.7
LAKE HOSPITAL SYSTEMCONCORDOH36$653$489.75$148.95$326.5$587.7
UH GEAUGA MEDICAL CENTERCHARDONOH37$653$489.75$148.95$326.5$587.7
UH REGIONAL HOSPITALSRICHMOND HEIGHTSOH37$653$489.75$148.95$326.5$587.7
UH ST. JOHN MEDICAL CENTERWESTLAKEOH38$653$489.75$148.95$326.5$587.7
RAINBOW BABIES & CHILDRENS HOSPITALCLEVELANDOH40$506$379.5$148.95$320.3$455.4
UH CLEVELAND MEDICAL CENTERCLEVELANDOH40$506$379.5$142.69$283.36$455.4
UNIVERSITY HOSPITALS REHAB HOSPITALBEACHWOODOH40$506$379.5$142.69$283.36$455.4
UNIVERSITY HOSPITALS AVON REHAB HOSPAVONOH40$506$379.5$142.69$283.36$455.4
ADENA REGIONAL MEDICAL CENTERCHILLICOTHEOH11$153.1$153.1$421.03
UH PARMA MEDICAL CENTERPARMAOH17$148.95$148.95$268.11
UH ELYRIA MEDICAL CENTERELYRIAOH17$148.95$148.95$268.11
UH PORTAGE MEDICAL CENTERRAVENNAOH17$148.95$148.95$268.11
ST. LUKES HOSPITALMAUMEEOH12$394.6$197.3$87.89$143.67$250.72
BARNESVILLE HOSPITALBARNESVILLEOH0$341$170.5
WAYNE HOSPITAL COMPANYGREENVILLEOH0$502$376.5
MCCULLOUGH-HYDE MEMORIAL HOSPITALOXFORDOH0$448$336
BETHESDA HOSPITALCINCINNATIOH0$633.92$475.44
TRUMBULL MEMORIAL HOSPITALWARRENOH0$400$320
GOOD SAMARITAN HOSPITALCINCINNATIOH0$633.92$475.44
HARRISON COMMUNITY HOSPITALCADIZOH0$341$170.5

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.