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Psychiatric diagnostic evaluation

CPT 90791 · negotiated-rate distribution across hospitals in VT

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Hospitals
4
Min
$154.12
Median
$171.88
Max
$248.7
Range multiplier
1.6×

By payer (28 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield328$123.92$223.32$513.554.1×
UnitedHealthcare314$93.8$206.89$779.368.3×
Cigna313$55$193.57$457.278.3×
mvp210$110$230.67$441.334.0×
capital district physicians' health plan28$161.92$234.5$351.282.2×
Anthem BCBS17$141.3$154.12$215.771.5×
wellpath26$197.82$250.42$257.951.3×
First Health36$141.3$362.38$398.652.8×
Humana35$131.32$141.3$161.921.2×
Aetna35$141.3$161.92$326.112.3×
wellsense14$123.51$137.7$164.911.3×
fidelis care14$162.5$162.5$178.111.1×
harvard pilgrim24$307.94$375.2$375.21.2×
ebpa13$361.13$403.34$403.341.1×
tufts health plan13$274.62$274.62$274.621.0×
magnacare13$375.2$375.2$375.21.0×
VA Health23$141.3$141.3$161.921.1×
mvp healthcare13$141.3$154.12$184.951.3×
martins point23$165.07$165.07$165.971.0×
nppn13$422.1$422.1$422.11.0×
amerihealth-caritas12$123.51$123.86$124.21.0×
new hampshire healthy families12$123.51$123.86$124.21.0×
st. regis12$141.3$151.61$161.921.1×
harvard pilgrim health care12$141.3$147.71$154.121.1×
WellCare12$148.37$155.1$161.831.1×
martin's point12$141.3$147.71$154.121.1×
vermont health plan11$178.68$178.68$178.681.0×
Multiplan11$184.95$184.95$184.951.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$469$469$93.8$248.7$779.36
CENTRAL VERMONT HOSPITALBARREVT12$384.92$384.92$55$171.88$400.14
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT17$336.2$235.34$123.51$154.12$326.11
PORTER HOSPITALMIDDLEBURYVT0$397$397

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.