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Psychiatric eval with medical services

CPT 90792 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$156.78
Median
$314.64
Max
$508.68
Range multiplier
3.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield745$29.38$270.86$1,261.2642.9×
Aetna728$112.05$240.07$651.565.8×
UnitedHealthcare625$55.08$187.13$430.147.8×
institution [10406]325$192.92$364.00$552.002.9×
harvard pilgrim [10701]418$207.48$281.14$400.501.9×
Cigna715$30.33$293.46$758.8725.0×
Medicaid413$120.12$182.16$416.523.5×
Multiplan47$273.00$338.40$600.752.2×
First Health57$226.50$414.00$600.752.7×
fallon mcaid carelon hlth [29]46$302.00$458.00$801.002.7×
hne [11108]46$164.16$222.75$446.882.7×
grants [20507]46$302.00$458.00$801.002.7×
tufts [11201]46$27.57$45.12$214.667.8×
connecticare [11105]46$302.00$458.00$801.002.7×
workers compensation [20501]46$145.60$184.06$263.291.8×
wellpoint [11112]46$222.39$337.27$589.862.7×
medcost16$100.77$152.85$241.022.4×
fallon connectorcare [10503]46$172.54$261.65$727.214.2×
evernorth behavioral health [27]35$241.60$291.20$441.601.8×
masshealth mcd mbhp [38]35$302.00$364.00$552.001.8×
CHAMPVA44$161.17$161.17$166.371.0×
amerihealth24$54.52$368.26$614.4711.3×
automobile [10401]24$364.00$458.00$552.001.5×
correctional care [11003]24$278.46$350.37$422.281.5×
devon health14$686.00$693.84$701.681.0×
geisinger14$90.00$383.22$589.986.6×
hsno/free care [10801]44$294.30$672.16$680.812.3×
Humana34$180.26$268.75$357.202.0×
optum transplant [20601]24$364.00$458.00$552.001.5×
wellfleet [11106]24$327.60$412.20$496.801.5×
wellsense cc carelon hlth [20]24$364.00$458.00$552.001.5×
keystone first13$186.00$216.51$221.461.2×
upmc health plan13$105.00$150.00$191.471.8×
pennsylvania health and wellness13$93.75$191.47$337.353.6×
wellpoint12$180.26$343.50$506.732.8×
fidelis care12$180.26$205.52$230.781.3×
fallon carelon hlth [28]22$302.00$551.50$801.002.7×
directnet12$222.22$222.22$222.221.0×
oscar12$112.80$131.60$150.401.3×
private healthcare systems12$308.32$308.32$308.321.0×
qualcare inc12$682.75$705.42$728.091.1×
WellCare22$55.08$206.90$358.726.5×
health partners plans12$93.75$142.61$191.472.0×
partners11$54.52$54.52$54.521.0×
Emblem Health11$360.52$360.52$360.521.0×
point comfort11$182.35$182.35$182.351.0×
healthy blue11$54.52$54.52$54.521.0×
gateway health plan11$191.47$191.47$191.471.0×
sunrise11$200.59$200.59$200.591.0×
trillium11$56.17$56.17$56.171.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beth Israel Deaconess - PlymouthPlymouthMA12$889.00$185.17$180.26$508.68$829.70
Healthalliance-ClintonLeominsterMA20$801.00$801.00$27.57$424.53$801.00
Umass Memorial Medical CenterWorcesterMA26$552.00$552.00$37.14$314.64$672.16
Marlborough HospitalMarlboroughMA26$552.00$552.00$37.14$314.64$672.16
Harrington Memorial HospitalSouthbridgeMA22$302.00$302.00$29.38$247.64$727.21
Chestnut Hill Benevolent AssociationChestnut HillMA19$716.00$90.00$191.47$1,261.26
High Point HospitalMiddleboroughMA19$376.00$188.00$54.52$156.78$357.20
Fairview HospitalGreat BarringtonMA0$311.99$296.39
North Adams Regional HospitalNorth AdamsMA0$311.99$296.39
Hebrew Rehabilitation CenterRoslindaleMA0$191.50$191.50
Berkshire Medical CenterPittsfieldMA0$311.99$296.39

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.