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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in SC

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Hospitals
7
Min
$145.74
Median
$165.08
Max
$328.42
Range multiplier
2.3×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$107.67$107.67$145.741.4×
Blue Cross Blue Shield572$68.53$174.26$6499.5×
Medicare145$128.88$145.74$169.121.3×
UnitedHealthcare442$10.9$131.17$166.7315.3×
no fault [114001]128$230.23$230.23$230.231.0×
Aetna426$29.1$50$165.085.7×
Molina424$13.2$242.25$288.8921.9×
univera healthcare [100169]118$126.73$186.37$186.371.5×
Cigna415$25.2$145.74$211.328.4×
independent health [100165]114$166.72$166.72$166.721.0×
select health312$13.2$173.33$369.7828.0×
absolute total care312$13.86$165.08$272.3819.7×
Humana412$13.2$153.03$165.0812.5×
WellCare110$153.03$153.03$160.311.0×
independent health essential [100166]16$107.67$107.67$107.671.0×
clover insurance company36$171.68$171.68$171.681.0×
VA Health16$131.17$131.17$131.171.0×
federal workers compensation [500100]16$230.23$230.23$230.231.0×
univera healthcare essential [100170]16$126.73$126.73$126.731.0×
beacon essential [350122]16$131.17$174.89$174.891.3×
TRICARE16$145.74$145.74$145.741.0×
amerigroup [350102]16$107.67$107.67$107.671.0×
fidelis essential [100163]16$160.31$160.31$160.311.0×
fidelis dual advantage [450120]14$153.03$153.03$153.031.0×
hospice [550001]14$145.74$145.74$145.741.0×
devoted health24$165.08$165.08$165.081.0×
iha first choice [800001]14$166.72$166.72$166.721.0×
Multiplan33$90$90$901.0×
medcost - sc33$50.44$56.53$58.511.2×
mvp healthcare [100168]13$110$156.33$156.331.4×
phcs33$90$90$901.0×
plotkin health33$60$60$601.0×
devoted health plan12$165.08$165.08$165.081.0×
catholic health life pace [400005]12$145.74$145.74$145.741.0×
vna option mltc [350110]12$107.67$107.67$107.671.0×
excellus rochester mcd [350117]12$107.67$107.67$107.671.0×
champ va [700002]12$145.74$145.74$145.741.0×
fallon health [450115]12$145.74$145.74$145.741.0×
seneca nation [450119]12$145.74$145.74$145.741.0×
crime victims [100176]12$107.67$107.67$107.671.0×
tuscarora nation [550120]12$107.67$107.67$107.671.0×
beacon health options [100023]12$174.89$174.89$174.891.0×
ghi [100153]12$160.31$160.31$160.311.0×
fidelis exchange [100164]12$174.89$174.89$174.891.0×
upmc health plan [100181]12$262.33$262.33$262.331.0×
covid19 hrsa [45013]12$145.74$145.74$145.741.0×
sc state employees11$304.42$304.42$304.421.0×
blue choice health plan11$328.42$328.42$328.421.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC3$304.42$328.42$649
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$347.82$19.84$165.08$472.56
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$347.82$10.9$165.08$488.94
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$347.82$13.6$165.08$551.5
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$355.3$355.3$68.53$145.74$262.33
SELF REGIONAL HEALTHCAREGREENWOODSC0$20$12
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$20$12

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.