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Psychiatric eval with medical services

CPT 90792 · negotiated-rate distribution across hospitals in PA

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Hospitals
22
Min
$152.41
Median
$192.60
Max
$749.00
Range multiplier
4.9×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield687$88.55$186.56$2,055.6023.2×
Aetna634$97.50$192.60$1,276.2013.1×
UnitedHealthcare621$90.00$186.56$416.004.6×
upmc health plan511$82.50$165.75$501.726.1×
Cigna611$144.30$246.09$1,276.208.8×
keystone first39$158.05$183.42$222.471.4×
health partners plans39$62.91$62.91$190.293.0×
geisinger37$116.75$195.68$205.221.8×
fidelis26$769.50$802.50$1,595.252.1×
pennsylvania health and wellness36$167.44$184.02$205.221.2×
health payors organization26$872.10$909.50$1,807.952.1×
Humana45$182.35$186.56$909.505.0×
qualcare14$434.00$438.96$443.921.0×
intergroup14$802.50$856.00$909.501.1×
Oscar Health33$273.52$279.84$279.841.0×
Multiplan13$214.22$856.00$856.004.0×
ibc13$174.75$174.75$174.751.0×
innovage33$190.29$190.29$220.641.2×
elder health33$218.82$223.87$223.871.0×
prime health services33$290.26$296.97$296.971.0×
gateway health plan33$144.31$233.20$233.201.6×
amerihealth caritas23$90.00$118.68$165.431.8×
clover health33$193.29$197.75$197.751.0×
wtc health program22$233.20$238.17$243.131.0×
First Health12$749.00$749.00$749.001.0×
health coalition partners12$856.00$856.00$856.001.0×
magellan health12$146.38$569.69$993.006.8×
naphcare22$279.84$279.84$279.841.0×
occunet22$279.84$279.84$279.841.0×
pa health & wellness12$127.81$146.62$165.431.3×
preferred healthcare system12$695.50$695.50$695.501.0×
private health care systems12$856.00$856.00$856.001.0×
selectcare12$856.00$856.00$856.001.0×
abington pro ibc12$149.30$150.86$152.411.0×
upmc work partners11$184.23$184.23$184.231.0×
health partners plans (jefferson health plan)11$113.10$113.10$113.101.0×
Medicaid11$62.91$62.91$62.911.0×
community care behavioral health11$166.85$166.85$166.851.0×
intergroup service corp11$348.00$348.00$348.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc ShadysidePittsburghPA20$1,070.00$642.00$82.50$749.00$2,055.60
Upmc - Presbyterian ShadysidePittsburghPA5$2,127.00$1,276.20$165.43$701.91$1,807.95
Temple University HospitalPhiladelphiaPA21$716.00$62.91$192.60$1,201.20
Jeanes HospitalPhiladelphiaPA18$716.00$62.91$192.60$1,261.26
Thomas Jefferson Univ. HospitalPhiladelphiaPA2$62.91$174.75$174.75
American Oncologic HospialPhiladelphiaPA16$716.00$62.91$164.18$502.61
Curahealth Heritage ValleyBeaverPA8$464.00$125.28$97.50$164.01$348.00
Aria HealthPhiladelphiaPA2$149.30$152.41$265.38
Presbyterian Medical CenterPhiladelphiaPA0$704.00$704.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$2,400.00$2,400.00
Milton S. Hershey Medical CenterHersheyPA0$1,044.00$345.88
Hampden Medical CenterEnolaPA0$1,044.00$328.55
Pennsylvania Psychiatric InstituteHarrisburgPA0$1,536.00$263.58
Holy Spirit HospitalCamp HillPA0$1,536.00$366.95
Haven Behavioral Svcs Of Reading LlcReadingPA0$576.00
Uniontown HospitalUniontownPA0$408.00$204.00
Reading Hospital And Medical CenterReadingPA0$416.00$291.20
Clarion HospitalClarionPA0
Hospital Of The Univ Of PennaPhiladelphiaPA0$2,400.00$2,400.00
Westmoreland Regional HospitalGreensburgPA0$289.00$173.40
Butler Memorial HospitalButlerPA0$353.00$247.10
Latrobe Area HospitalLatrobePA0$289.00$173.40

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.