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Psychiatric eval with medical services

CPT 90792 · negotiated-rate distribution across hospitals in IL

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Hospitals
35
Min
$161.37
Median
$211.71
Max
$622.54
Range multiplier
3.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27141$68.59$288.30$979.4214.3×
Aetna23113$91.69$198.71$538.945.9×
UnitedHealthcare2399$118.70$226.11$1,556.0013.1×
Humana2057$68.59$171.66$578.098.4×
Molina2144$90.60$172.51$344.103.8×
Medicare942$156.41$172.51$200.271.3×
Cigna2038$163.53$419.07$551.103.4×
Ambetter1623$158.78$271.33$271.331.7×
Multiplan1221$228.00$348.75$668.002.9×
Medicare Advantage121$161.24$200.27$220.301.4×
meridian718$45.30$159.77$534.0611.8×
healthlink614$179.95$302.25$576.903.2×
smarthealth612$234.49$234.49$234.491.0×
WellCare612$124.44$166.03$198.711.6×
Bright Health612$209.36$209.36$209.361.0×
hstechnology99$321.57$321.57$321.571.0×
Oscar Health99$251.23$251.23$251.231.0×
health partners open network48$207.69$215.72$233.381.1×
advocate employee48$153.66$279.21$364.902.4×
TRICARE48$167.49$167.49$167.491.0×
amerivantage48$155.54$166.72$175.861.1×
private healthcare systems48$210.60$489.73$743.153.5×
Self-Pay (Cash)57$133.00$167.49$167.491.3×
meridian health plan27$124.44$166.72$175.861.4×
ecoh16$189.98$271.85$373.922.0×
prime health services36$151.78$222.06$285.001.9×
health alliance25$158.78$198.71$439.092.8×
Medicaid45$124.44$534.06$534.064.3×
community partners health plan (cphp)34$271.80$279.00$395.401.5×
iowa total care44$125.00$133.18$154.801.2×
aarp24$159.12$159.12$159.121.0×
actin care24$259.61$259.61$259.611.0×
hfn14$189.98$271.85$373.922.0×
deaconess onecare24$159.77$203.58$239.661.5×
amerigroup33$133.18$133.18$154.801.2×
alliance coal23$220.48$220.48$276.351.3×
mychoice wi medical adv13$161.24$200.27$200.271.2×
noncontracted23$255.63$255.63$267.981.0×
umwa23$159.77$159.77$167.491.0×
harmony health plan22$534.06$534.06$534.061.0×
illinicare22$534.06$534.06$534.061.0×
First Health22$342.00$351.50$361.001.1×
family health plan22$534.06$534.06$534.061.0×
county care22$534.06$534.06$534.061.0×
mytru advantage12$159.77$163.63$167.491.0×
catepillar, inc.12$544.85$544.85$544.851.0×
care improvement plus22$162.97$166.91$170.841.0×
quartz aso12$292.94$354.21$415.471.4×
quartz fully insured12$259.41$313.67$367.921.4×
bc illinois community12$157.44$202.04$246.631.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Advocate Lutheran General HospitalPark RidgeIL11$835.00$417.50$242.85$622.54$1,556.00
Advocate Christ HospitalOak LawnIL11$835.00$417.50$242.85$595.36$1,556.00
Alexian Brothers Behavioral HealthHoffman EstatesIL4$231.18$523.71$534.06
Advocate Good Samaritan HospitalDowners GroveIL11$525.00$262.50$206.85$409.77$1,556.00
Kirby HospitalMonticelloIL13$641.00$384.60$121.08$409.60$628.18
Presence Saints Mary & Elizabeth MedChicagoIL7$766.00$405.98$156.41$344.10$578.09
South Suburban HospitalHazelcrestIL5$242.85$321.57$976.61
Condell Medical CenterLibertyvilleIL5$242.85$321.57$599.45
Advocate Southland HospitalChicagoIL5$242.85$321.57$973.09
Good Shepherd HospitalBarringtonIL5$242.85$321.57$979.42
Advocate Sherman HospitalElginIL5$242.85$321.57$457.85
Advocate Northside Health SystemChicagoIL11$390.00$195.00$153.66$312.00$1,556.00
Red Bud Regional HospitalRed BudIL6$380.00$133.00$133.00$228.00$296.40
Valley West Community HospitalSandwichIL12$361.00$252.70$68.59$227.43$361.00
Carle Eureka HospitalEurekaIL11$465.00$465.00$45.30$223.20$390.60
Methodist Medical Ctr Of IllinoisPeoriaIL12$584.79$467.84$153.21$211.71$419.07
Alexian Brothers Medical CenterElk Grove VillageIL19$159.12$209.36$534.06
Marshall Browning HospitalDuquoinIL6$26.00$208.80$261.00
Carle Foundation HospitalUrbanaIL11$672.00$672.00$67.20$201.60$571.20
Swedishamerican HospitalRockfordIL19$462.55$74.01$118.70$200.27$462.55
St. Alexius Medical CenterHoffman EstatesIL18$159.12$192.61$534.06
Proctor HospitalPeoriaIL10$453.00$362.40$133.18$191.22$437.86
Pekin Memorial HospitalPekinIL10$453.00$362.40$133.18$191.22$437.86
Carle Bromenn Medical CenterNormalIL11$465.00$465.00$46.50$190.21$348.75
Presence Saint Joseph Hosp-ChicagoChicagoIL9$592.00$195.36$167.49$184.24$505.08
Presence Saint Joseph Hospital ElginElginIL9$592.00$195.36$167.49$184.24$505.08
Presence Saint Francis HospitalEvanstonIL9$592.00$195.36$167.49$184.24$505.08
Presence St. Marys HospitalKankakeeIL9$592.00$195.36$167.49$184.24$505.08
Trinity Rock IslandRock IslandIL13$453.00$362.40$125.00$175.86$726.79
Heartland Regional Medical CenterMarionIL23$380.00$133.00$124.44$167.49$477.33
Union County Hospital DistrictAnnaIL20$380.00$133.00$124.44$161.37$285.00
Gateway RegionalGranite CityIL0$654.68$392.81
Anderson HospitalMaryvilleIL0
Board Of Trustees Of The UniversityChicagoIL0$983.00$334.60
Community Hospital Of StauntonStauntonIL0$469.10$234.55

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.