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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in PA

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Hospitals
29
Min
$120.56
Median
$177.84
Max
$332.25
Range multiplier
2.8×

By payer (42 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield11123$45.60$242.01$1,931.0242.3×
Aetna1186$25.00$168.50$993.0039.7×
UnitedHealthcare1151$30.19$193.80$1,624.4853.8×
Multiplan632$137.28$186.81$354.402.6×
upmc health plan1028$46.51$170.09$699.0015.0×
Cigna1126$47.88$180.66$993.0020.7×
keystone first321$61.86$222.47$340.555.5×
geisinger815$117.92$205.22$764.156.5×
intergroup514$140.80$205.20$376.552.7×
First Health414$88.18$118.45$310.103.5×
fidelis212$75.00$325.13$1,241.2516.6×
health payors organization212$85.00$368.48$1,406.7516.6×
pennsylvania health and wellness312$68.45$205.22$379.985.6×
pa health & wellness612$49.25$131.73$233.204.7×
wirerope works410$97.86$97.86$139.561.4×
america's choice410$140.80$140.80$225.901.6×
health partners plans39$62.91$62.91$190.293.0×
Humana57$182.35$339.20$376.552.1×
three rivers provider network36$158.40$191.18$223.951.4×
qualcare16$443.92$1,163.12$1,733.523.9×
upmc work partners66$209.34$209.34$224.721.1×
amerihealth caritas44$157.78$157.78$165.431.0×
innovage33$190.29$190.29$220.641.2×
ibc13$151.99$151.99$151.991.0×
Oscar Health33$273.52$279.84$279.841.0×
gateway health plan33$144.31$233.20$233.201.6×
elder health33$218.82$223.87$223.871.0×
prime health services33$290.26$296.97$296.971.0×
clover health33$193.29$197.75$197.751.0×
wtc health program22$233.20$238.17$243.131.0×
abington pro ibc12$131.94$133.31$134.691.0×
preferred healthcare system12$287.95$287.95$287.951.0×
health coalition partners12$354.40$354.40$354.401.0×
naphcare22$279.84$279.84$279.841.0×
national provider network12$373.12$373.12$373.121.0×
occunet22$279.84$279.84$279.841.0×
private health care systems12$354.40$354.40$354.401.0×
selectcare12$354.40$354.40$354.401.0×
intergroup service corp11$224.25$224.25$224.251.0×
magellan health11$993.00$993.00$993.001.0×
Medicaid11$62.91$62.91$62.911.0×
community care behavioral health11$146.02$146.02$146.021.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc ShadysidePittsburghPA19$443.00$265.80$31.50$332.25$1,931.02
Upmc - Presbyterian ShadysidePittsburghPA5$1,655.00$993.00$25.00$292.51$1,406.75
Temple University HospitalPhiladelphiaPA20$2,796.00$62.91$279.84$1,201.20
Jeanes HospitalPhiladelphiaPA18$2,796.00$62.91$250.52$1,261.26
American Oncologic HospialPhiladelphiaPA16$2,796.00$61.86$243.13$1,733.52
Upmc JamesonNew CastlePA11$424.00$254.40$30.19$233.20$373.12
WellsboroWellsboroPA12$251.00$182.40$33.60$177.84$238.45
Curahealth Heritage ValleyBeaverPA8$299.00$80.73$34.13$157.81$224.25
Thomas Jefferson Univ. HospitalPhiladelphiaPA2$507.00$209.70$62.91$151.99$151.99
Aria HealthPhiladelphiaPA2$131.94$134.69$237.05
Williamsport Hospital & Medical CtrWilliamsportPA15$176.00$105.60$33.60$120.56$231.25
Divine Providence HospitalWilliamsportPA15$176.00$105.60$33.60$120.56$231.25
Lock Haven HospitalLock HavenPA15$176.00$105.60$33.60$120.56$231.25
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$362.00
Pennsylvania Psychiatric InstituteHarrisburgPA0$1,475.00$253.11
Holy Spirit HospitalCamp HillPA0$1,475.00$352.38
Haven Behavioral Svcs Of Reading LlcReadingPA0$426.00
Reading Hospital And Medical CenterReadingPA0$448.00$313.60
Clarion HospitalClarionPA0
Hospital Of The Univ Of PennaPhiladelphiaPA0$783.00$783.00
Pottstown Memorial Medical CenterPottstownPA0$474.00$118.50
Westmoreland Regional HospitalGreensburgPA0$289.00$173.40
Butler Memorial HospitalButlerPA0$353.00$247.10
Latrobe Area HospitalLatrobePA0$289.00$173.40
Presbyterian Medical CenterPhiladelphiaPA0$745.00$745.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$783.00$783.00
Milton S. Hershey Medical CenterHersheyPA0$1,044.00$345.88
Hampden Medical CenterEnolaPA0$1,044.00$328.55
Allied Services Rehab HospitalScrantonPA0$362.00

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.