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Psychiatric eval with medical services

CPT 90792 · negotiated-rate distribution across hospitals in CA

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Hospitals
14
Min
$151.5
Median
$310.5
Max
$1,050
Range multiplier
6.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare750$130.95$564.18$1,2429.5×
Medicaid737$31$237.02$1,24240.1×
Blue Cross Blue Shield1437$1$326.68$1,4701470.0×
First Health834$155.25$334.8$1,117.87.2×
Multiplan733$166.25$357.64$1,140.296.9×
commercial | healthsmart | all plans628$148.22$339.45$1,115.457.5×
commercial | sutter health | all plans525$165.6$496.8$993.66.0×
Cigna723$87.38$349.07$1,20013.7×
Health Net720$110.48$325.52$1,23011.1×
Kaiser Permanente919$84.87$187.84$1,055.712.4×
Anthem BCBS817$130.95$178.8$199.751.5×
commercial | wcmg | all plans315$35.19$105.57$211.146.0×
Aetna1114$188.94$246.15$1,0505.6×
Molina512$103.25$386.08$1,35013.1×
commercial | dhr | all plans28$86.8$114.94$130.21.5×
Medicare77$188.94$188.94$227.161.2×
commercial | usbehavior health | all plans15$207$621$1,2426.0×
commercial | connected care intel | all plans15$116.36$349.07$698.136.0×
Humana44$148$188.94$9576.5×
brand new day24$229.43$285.09$340.741.5×
commercial | hill physicians | all plans44$188.94$188.94$188.941.0×
san diego pace23$1,005$1,050$1,1251.1×
Bright Health33$155$206.62$206.621.3×
TRICARE23$227.16$227.16$227.161.0×
workers compensation22$299.25$299.25$299.251.0×
caloptima22$103.25$103.25$103.251.0×
care 1st health plan12$148$148$1481.0×
employer direct healthcare22$318.02$318.02$318.021.0×
naphcare12$352.1$352.1$352.11.0×
renal payer solutions22$227.16$227.16$227.161.0×
traditional medi-cal22$103.25$103.25$103.251.0×
verda healthplan22$227.16$227.16$227.161.0×
county medical services11$757.5$757.5$757.51.0×
imperial health plan11$240.79$240.79$240.791.0×
imperial health plan of ca11$240.79$240.79$240.791.0×
indian health council11$937.5$937.5$937.51.0×
innovative mgmt svcs11$227.16$227.16$227.161.0×
interplan11$445.5$445.5$445.51.0×
claritev [13400]11$484.76$484.76$484.761.0×
la health care11$148$148$1481.0×
managed health network11$445.5$445.5$445.51.0×
medcare partners health plan11$227.16$227.16$227.161.0×
central health plan11$227.16$227.16$227.161.0×
california health and wellness11$984$984$9841.0×
ca foundation for medical care11$299.25$299.25$299.251.0×
blue card (out of state) [40000]11$383.66$383.66$383.661.0×
umr [17000]11$619.84$619.84$619.841.0×
optum health11$1,200$1,200$1,2001.0×
patient choice health plan11$227.16$227.16$227.161.0×
private healthcare systems (phcs) [14200]11$484.76$484.76$484.761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SHARP CHULA VISTA MEDICAL CENTERCHULA VISTACA13$1,500$1,125$225$957$1,470
STANFORD HEALTH CARESTANFORDCA14$1,142$571$180.69$484.76$647.7
GROSSMONT HOSPITALLA MESACA3$1,500$1,125$1$420$1,200
WOODLAND HEALTHCAREWOODLANDCA15$1,242$869.4$35.19$372.21$1,242
METHODIST HOSPITAL OF SACRAMENTOSACRAMENTOCA13$1,242$869.4$130.95$310.5$1,242
MERCY GENERAL HOSPITALSACRAMENTOCA13$1,242$869.4$130.95$310.5$1,242
ST. JOSEPHS BEHAVIORAL HLTH CENTERSTOCKTONCA10$465$325.5$31$262.8$416.18
ST. JOSEPHS MEDICAL CENTERSTOCKTONCA10$465$325.5$31$262.8$416.18
MERCY HOSPITAL OF FOLSOMFOLSOMCA13$1,242$869.4$35.19$250.12$1,242
MERCY SAN JUAN MEDICAL CENTERCARMICHAELCA14$1,242$869.4$35.19$236.6$1,242
HUNTINGTON BEACH HOSPITALHUNTINGTON BEACHCA16$577.6$227$103.25$227.16$340.74
GARDEN GROVE HOSPITAL MEDICAL CENTERGARDEN GROVECA19$577.6$227$103.25$227.16$352.1
PACIFICA HOSPITAL OF THE VALLEYSUN VALLEYCA13$545$545$118$151.5$545
SHARP MEMORIAL HOSPITALSAN DIEGOCA8$1,500$1,125$420$1,050$1,350

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.