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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
$151.50
Median
$310.50
Max
$1,050.00
Range multiplier
6.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare750$130.95$564.18$1,242.009.5×
Medicaid737$31.00$237.02$1,242.0040.1×
Blue Cross Blue Shield1437$1.00$326.68$1,470.001470.0×
First Health834$155.25$334.80$1,117.807.2×
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$165.60$496.80$993.606.0×
Cigna723$87.38$349.07$1,200.0013.7×
Health Net720$110.48$325.52$1,230.0011.1×
Kaiser Permanente919$84.87$187.84$1,055.7012.4×
Anthem BCBS817$130.95$178.80$199.751.5×
commercial | wcmg | all plans315$35.19$105.57$211.146.0×
Aetna1114$188.94$246.15$1,050.005.6×
Molina512$103.25$386.08$1,350.0013.1×
commercial | dhr | all plans28$86.80$114.94$130.201.5×
Medicare77$188.94$188.94$227.161.2×
commercial | usbehavior health | all plans15$207.00$621.00$1,242.006.0×
commercial | connected care intel | all plans15$116.36$349.07$698.136.0×
Humana44$148.00$188.94$957.006.5×
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$1,005.00$1,050.00$1,125.001.1×
Bright Health33$155.00$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$148.00$148.00$148.001.0×
employer direct healthcare22$318.02$318.02$318.021.0×
naphcare12$352.10$352.10$352.101.0×
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$757.50$757.50$757.501.0×
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$937.50$937.50$937.501.0×
innovative mgmt svcs11$227.16$227.16$227.161.0×
interplan11$445.50$445.50$445.501.0×
claritev [13400]11$484.76$484.76$484.761.0×
la health care11$148.00$148.00$148.001.0×
managed health network11$445.50$445.50$445.501.0×
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$984.00$984.00$984.001.0×
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$1,200.00$1,200.00$1,200.001.0×
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$1,500.00$1,125.00$225.00$957.00$1,470.00
Stanford Health CareStanfordCA14$1,142.00$571.00$180.69$484.76$647.70
Grossmont HospitalLa MesaCA3$1,500.00$1,125.00$1.00$420.00$1,200.00
Woodland HealthcareWoodlandCA15$1,242.00$869.40$35.19$372.21$1,242.00
Methodist Hospital Of SacramentoSacramentoCA13$1,242.00$869.40$130.95$310.50$1,242.00
Mercy General HospitalSacramentoCA13$1,242.00$869.40$130.95$310.50$1,242.00
St. Josephs Behavioral Hlth CenterStocktonCA10$465.00$325.50$31.00$262.80$416.18
St. Josephs Medical CenterStocktonCA10$465.00$325.50$31.00$262.80$416.18
Mercy Hospital Of FolsomFolsomCA13$1,242.00$869.40$35.19$250.12$1,242.00
Mercy San Juan Medical CenterCarmichaelCA14$1,242.00$869.40$35.19$236.60$1,242.00
Huntington Beach HospitalHuntington BeachCA16$577.60$227.00$103.25$227.16$340.74
Garden Grove Hospital Medical CenterGarden GroveCA19$577.60$227.00$103.25$227.16$352.10
Pacifica Hospital Of The ValleySun ValleyCA13$545.00$545.00$118.00$151.50$545.00
Sharp Memorial HospitalSan DiegoCA8$1,500.00$1,125.00$420.00$1,050.00$1,350.00

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.