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Psychiatric eval with medical services

CPT 90792 · negotiated-rate distribution across hospitals in MI

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Hospitals
24
Min
$98.93
Median
$164.51
Max
$269.11
Range multiplier
2.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1069$129.83$158.78$250.721.9×
UnitedHealthcare1765$81.51$160.04$572.257.0×
Medicaid961$79.51$87.89$2753.5×
Aetna1836$95.76$166.12$384.724.0×
Humana1633$129.83$166.12$184.241.4×
Blue Cross Blue Shield1124$71.48$212.52$505.087.1×
Ambetter816$266.11$266.11$271.331.0×
smarthealth816$225.79$225.79$234.491.0×
Medicare Advantage815$131.83$161.28$161.281.2×
healthspring mcr replacement714$162.89$163.7$164.511.0×
WellCare714$161.28$161.28$161.281.0×
Oscar Health714$258.05$258.05$258.051.0×
occunet714$298.37$330.63$362.881.2×
blue mcr replacement714$161.28$161.28$161.281.0×
facility billing - op714$161.28$161.28$161.281.0×
priority health813$168.87$198.12$240.321.4×
mclaren commercial ins811$92.15$129.36$129.361.4×
TRICARE89$136.13$153.2$167.491.2×
u of m health plan89$83.48$182.6$182.62.2×
hap - hmo88$167.86$167.86$167.861.0×
evernorth behavioral health77$65$65$651.0×
mi amish medical board66$156.7$156.7$156.71.0×
First Health55$127.44$143.82$694.885.5×
priority health op rate44$93.96$97.51$413.084.4×
hap - hmo op rate33$78.17$78.17$301.093.9×
cofinity - ppom op rate33$144.67$144.67$400.582.8×
hcap op rate33$101.52$101.52$1261.2×
hp - ppo op rate33$96.33$96.33$465.44.8×
hp - hmo op rate33$69.42$69.42$349.735.0×
cofinity auto22$149.03$197.63$246.231.7×
great lakes research op rate22$101.52$101.52$101.521.0×
hap - ppo op rate22$108.46$108.46$108.461.0×
health advantage - commercial op rate22$59.3$59.3$59.31.0×
mclaren health plan op rate22$67.83$67.83$67.831.0×
Bright Health12$209.36$209.36$209.361.0×
mi amish medical board op rate22$153.56$153.56$153.561.0×
blue care network op rate22$90.51$90.51$90.511.0×
health advantage - ppo op rate11$262.66$262.66$262.661.0×
health plus hmo op rate11$93.24$93.24$93.241.0×
health plus ppo op rate11$100.8$100.8$100.81.0×
hap ahl op rate11$85.34$85.34$85.341.0×
cofinity - wc/auto op rate11$463.36$463.36$463.361.0×
com priority health op rate11$95.66$95.66$95.661.0×
cofinity - auto op rate11$463.36$463.36$463.361.0×
hurley medical center op rate11$228.9$228.9$228.91.0×
com php op rate11$64.93$64.93$64.931.0×
mclaren health op rate11$54.97$54.97$54.971.0×
cofinity op rate11$103.82$103.82$103.821.0×
Cigna11$98.28$98.28$98.281.0×
CHAMPVA11$105.8$105.8$105.81.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN BAY SPECIAL CAREBAY CITYMI18$88$59.3$98.93$153.56
ASCENSION ST JOHN HOSPITALDETROITMI2$159.8$269.11$269.11
TAWAS ST. JOSEPH HOSPITALTAWASMI9$592$195.36$167.49$184.24$505.08
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$65$164.51$362.88
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$65$164.51$362.88
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$65$164.51$362.88
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$65$164.51$362.88
ASCENSION STANDISH HOSPITALSTANDISHMI13$65$164.51$362.88
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$65$164.51$362.88
ASCENSION ALLEGAN HOSPITALALLEGANMI13$65$164.51$362.88
MCLAREN FLINTFLINTMI26$396.5$425.1$79.51$162.75$694.88
MCLAREN CENTRAL MICHIGANMT PLEASANTMI10$311$155.5$129.36$160.04$212.52
MCLAREN LAPEER REGIONLAPEERMI14$396.5$198.25$87.89$156.7$277.55
MCLAREN NORTHERN MICHIGANPETOSKEYMI12$396.5$198.25$87.89$156.7$250.72
MCLAREN THUMB REGIONBAD AXEMI11$383.1$191.55$118.57$149.65$212.52
BAY REGIONAL MEDICAL CENTERBAY CITYMI25$394.6$197.3$59.3$139.34$322.23
MCLAREN GREATER LANSINGLANSING MI 489100MI21$311$155.5$63.67$137.81$250.72
MCLAREN PORT HURONPORT HURONMI29$396.5$198.25$54.97$134.94$297.38
MCKENZIE HEALTH SYSTEMSANDUSYMI0$308$246.4
SPARROW CLINTON HOSPITALST. JOHNSMI0$305$152.5
CARSON CITY HOSPITALCARSON CITYMI0$305$152.5
SPARROW EATONCHARLOTTEMI0$305$152.5
MH - MERCY CAMPUSMUSKEGONMI0$371.1$178.13
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$571$399.7

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.