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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in TX

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Hospitals
30
Min
$49.00
Median
$231.81
Max
$7,584.00
Range multiplier
154.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2190$46.00$326.46$8,427.00183.2×
UnitedHealthcare2152$102.01$314.13$421.644.1×
Aetna2052$43.00$289.19$504.0011.7×
Humana1436$63.00$250.85$472.507.5×
Anthem BCBS433$56.00$180.00$450.008.0×
Medicaid627$1.00$115.91$549.96550.0×
Cigna1526$49.00$327.60$657.0013.4×
healthsmart512$404.95$404.95$532.101.3×
First Health510$341.25$341.25$500.801.5×
web tpa48$204.75$204.75$204.751.0×
assurant health48$300.30$300.30$300.301.0×
mhs care connect28$101.42$108.67$115.911.1×
wellpoint67$125.00$203.67$237.881.9×
wellmed67$133.86$150.87$248.481.9×
Multiplan67$283.90$300.60$532.101.9×
TRICARE16$149.12$149.12$149.121.0×
Ambetter66$192.69$324.36$324.361.7×
scott & white56$241.39$241.39$444.461.8×
health partners open network25$127.98$196.93$254.412.0×
kempton group44$301.73$301.73$301.731.0×
community health choice14$225.00$275.00$375.001.7×
care improvement44$150.87$150.87$150.871.0×
caprock44$377.16$377.16$377.161.0×
patoka valley tier 124$180.00$180.00$180.001.0×
city of san angelo44$63.25$63.25$63.251.0×
90 degree benefits44$377.16$377.16$377.161.0×
txp optum health (transplant)14$331.78$388.12$469.501.4×
beacon health14$125.00$237.50$450.003.6×
superior health plan34$124.89$136.50$225.001.8×
patoka valley tier 224$180.00$180.00$180.001.0×
insurance services of lubbock44$245.91$245.91$245.911.0×
pdh/texas trust44$301.73$301.73$301.731.0×
carelon behavioral health14$125.00$237.50$450.003.6×
insurance management services44$245.91$245.91$245.911.0×
healthcare highways [2210]13$101.25$101.25$101.251.0×
Molina23$125.00$219.10$225.001.8×
Medicare Advantage23$102.01$182.70$296.982.9×
amerivantage12$139.86$142.12$144.371.0×
carelon12$231.62$269.18$306.741.3×
accountable health plans of america12$467.47$467.47$467.471.0×
commercial | phcs | all plans22$283.90$283.90$283.901.0×
medcorp southwest12$467.47$481.22$494.961.1×
commercial | nxhealth | all plans22$431.89$431.89$431.891.0×
commercial | firstcare | all plans22$200.40$200.40$200.401.0×
commercial | entrust | all plans22$265.78$265.78$265.781.0×
commercial | ellwood | all plans22$398.67$398.67$398.671.0×
medavant healthcare solutions12$439.97$439.97$439.971.0×
healthscope benefit solutions12$469.50$469.50$469.501.0×
iowa total care22$136.94$146.04$155.131.1×
health industry trust and welfare plan12$494.96$494.96$494.961.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor Orthopedic And Spine HospitalArlingtonTX1$3,986.00$7,584.00$8,427.00
Glen Rose Medical CenterGlen RoseTX8$70.00$70.00$32.00$49.00$67.00
Rice Medical CenterEagle LakeTX23$549.96$384.97$1.00$439.97$549.96
Childrens Medical Center Of PlanoPlanoTX31$626.00$469.50$124.89$438.20$607.22
Grimes St. Joseph Health CenterNavasotaTX2$334.00$116.90$283.90$347.45$411.00
River Crest HospitalSan AngeloTX21$455.00$227.50$63.25$325.98$404.95
San Angelo Community Medical CenterSan AngeloTX21$455.00$227.50$63.25$325.98$404.95
Big Spring State HospitalBig SpringsTX21$455.00$227.50$63.25$325.98$404.95
Shannon Medical CenterSan AngeloTX21$455.00$227.50$63.25$325.98$404.95
Falls Community Hospital And ClinicMarlinTX4$400.00$320.00$80.00$290.00$320.00
Madison St. Joseph Health CenterMadisonvilleTX5$334.00$116.90$200.40$283.90$411.00
Golden Plains Community HospitalBorgerTX6$582.00$407.40$88.34$261.01$395.76
Voyages Of Sugar Land BhSugar LandTX14$699.52$699.52$125.00$250.00$450.00
Burleson St. Joseph Health CenterCaldwellTX4$334.00$116.90$200.40$248.83$300.60
Limestone Medical CenterGroesbeckTX8$630.00$378.00$102.01$231.81$504.00
St. Joseph Regional Health CenterBryanTX9$334.00$116.90$132.89$229.24$431.89
College Station Medical CenterCollege StationTX9$334.00$116.90$132.89$229.24$431.89
Trinity Regional Hospital SachseSachseTX8$405.00$324.00$136.94$207.92$421.64
Crescent Medical Center LancasterLancasterTX12$657.00$427.00$131.00$205.50$20,688
Wilson N Jones Regional Medical CtrShermanTX12$405.00$324.00$127.98$202.34$368.89
Heritage Park Surgical HospitalShermanTX2$145.26$200.12$254.98
Acuity Hospital Of South TexasSan AntonioTX1$180.00$180.00$180.00
Lifecare Spec Hosp Of North TexasDallasTX16$405.00$40.50$92.38$163.62$378.74
Eastland Memorial HospitalEastlandTX3$217.00$109.00$135.00$155.50$195.00
Driscoll Childrens HospitalCorpus ChristiTX5$480.70$96.14$149.12$149.12$1,000.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$145.26$145.26$145.26
Ascension Seton Shoal CreekAustinTX7$101.42$115.91$203.36
Ascension Seton BastropBastropTX7$101.42$115.91$203.36
St Joseph Medical CenterHoustonTX0$489.28$489.28
The Medical Ctr Of Southeast TexasPort ArthurTX0$409.58$409.58

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.