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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in TN

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Hospitals
13
Min
$105.00
Median
$153.87
Max
$239.36
Range multiplier
2.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1167$52.50$155.00$229.344.4×
UnitedHealthcare1257$50.00$151.11$783.0015.7×
Aetna1249$100.00$143.91$188.101.9×
Cigna547$124.17$154.05$415.973.4×
Medicare825$141.90$153.87$161.561.1×
Humana1124$141.90$151.66$153.871.1×
Ambetter1121$150.00$197.16$200.031.3×
Medicare Advantage716$151.66$153.87$153.871.0×
optum va714$151.66$153.87$153.871.0×
smart health714$212.32$215.42$215.421.0×
nhc advantage714$151.66$153.87$153.871.0×
centurion of tn714$151.66$153.87$153.871.0×
healthspring mcr replacement714$151.66$153.87$153.871.0×
amerigroup mcr replacement714$151.66$153.87$158.491.0×
point comfort underwriters714$136.49$138.48$138.481.0×
ascension complete612$151.66$152.77$153.871.0×
wellpoint39$119.40$154.05$154.051.3×
Oscar Health77$212.32$215.42$215.421.0×
farm bureau47$138.98$138.98$144.741.0×
Self-Pay (Cash)77$151.66$153.87$153.871.0×
devoted health36$154.05$154.05$154.051.0×
ehn36$112.50$118.13$123.751.1×
galaxy health network36$225.00$236.25$247.501.1×
initial group36$220.00$231.00$242.001.1×
community services network36$162.50$170.63$178.751.1×
medsave usa36$200.00$210.00$220.001.1×
national provider network36$200.00$210.00$220.001.1×
ccn managed care36$212.50$223.13$233.751.1×
novanet36$187.50$196.88$206.251.1×
beech street36$212.50$223.13$233.751.1×
TRICARE56$142.62$146.71$147.721.0×
triwest va pccc36$153.87$153.87$153.871.0×
usa managed care organization36$175.00$183.75$192.501.1×
correctional medical services36$150.00$157.50$165.001.1×
direct care america36$200.00$210.00$220.001.1×
Medicaid14$114.76$118.13$118.131.0×
community plan44$55.08$55.08$55.081.0×
WellCare44$141.90$154.05$154.051.1×
optum33$146.71$146.71$146.711.0×
amerigroup22$124.16$133.63$143.101.2×
americhoice mcr replacement12$144.64$148.49$152.331.1×
Molina12$118.13$132.90$147.661.2×
amerivantage11$124.16$124.16$124.161.0×
upmc11$141.90$141.90$141.901.0×
provider network of america11$241.23$241.23$241.231.0×
blue11$141.90$141.90$141.901.0×
amerigroup mcaid replacement11$141.04$141.04$141.041.0×
transplant optum tenncare [350013]11$55.08$55.08$55.081.0×
naphcare11$212.85$212.85$212.851.0×
corizon11$92.80$92.80$92.801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Methodist H/C Memphis Hospt.MemphisTN6$551.00$121.22$50.00$239.36$783.00
Fort Loudoun Medical CenterLenoir CityTN24$275.00$88.00$52.50$154.05$247.50
Morristown-Hamblen HospitalMorristownTN24$275.00$85.25$52.50$154.05$247.50
Roane County Medical CenterHarrimanTN24$275.00$85.25$52.50$154.05$247.50
Saint Thomas Stones River HospitalWoodburyTN18$55.08$153.87$215.42
Saint Thomas Rutherford HospitalMurfreesboroTN18$105.00$153.87$215.42
Saint Thomas West HospitalNashvilleTN18$105.00$153.87$215.42
Saint Thomas Midtown HospitalNashvilleTN20$105.00$153.87$215.42
St Thomas Dekalb HospitalSmithvilleTN18$55.08$151.66$212.32
Ascension St Thomas River ParkMcminnvilleTN19$55.08$151.66$212.32
Saint Thomas Highland HospitalSpartaTN18$55.08$151.66$212.32
Metro Nashville General HospitalNashvilleTN17$342.00$205.20$78.05$141.90$241.23
St Thomas Hickman HospitalCentervilleTN1$105.00$105.00$143.91

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.