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Psychiatric eval with medical services

CPT 90792 · negotiated-rate distribution across hospitals in TX

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Hospitals
23
Min
$80.00
Median
$233.20
Max
$7,584.00
Range multiplier
94.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1773$69.65$307.38$8,427.00121.0×
Aetna1538$70.00$241.22$567.008.1×
UnitedHealthcare1636$65.00$297.50$438.016.7×
Anthem BCBS326$109.40$128.80$450.004.1×
Humana1224$65.00$316.73$531.568.2×
Medicaid719$1.00$109.40$510.40510.4×
Cigna1316$80.00$327.60$657.008.2×
assurant health48$300.30$300.30$300.301.0×
web tpa48$204.75$204.75$204.751.0×
First Health48$341.25$341.25$341.251.0×
healthsmart48$404.95$404.95$404.951.0×
wellmed77$65.00$150.87$150.872.3×
wellpoint56$125.00$203.67$225.001.8×
TRICARE16$169.43$169.43$169.431.0×
pdh/texas trust44$301.73$301.73$301.731.0×
patoka valley tier 124$128.80$128.80$128.801.0×
mhs care connect24$109.40$109.40$109.401.0×
insurance management services44$245.91$245.91$245.911.0×
insurance services of lubbock44$245.91$245.91$245.911.0×
kempton group44$301.73$301.73$301.731.0×
beacon health14$125.00$237.50$450.003.6×
caprock44$377.16$377.16$377.161.0×
care improvement44$150.87$150.87$150.871.0×
carelon behavioral health14$125.00$237.50$450.003.6×
Ambetter44$324.36$324.36$324.361.0×
city of san angelo44$63.25$63.25$63.251.0×
community health choice14$225.00$275.00$375.001.7×
scott & white44$241.39$241.39$241.391.0×
galaxy health network24$80.00$269.68$459.365.7×
patoka valley tier 224$128.80$128.80$128.801.0×
90 degree benefits44$377.16$377.16$377.161.0×
healthcare highways [2210]13$60.25$60.25$60.251.0×
superior health plan23$125.00$148.00$225.001.8×
health partners open network23$215.72$215.72$254.411.2×
health industry trust and welfare plan12$459.36$459.36$459.361.0×
accountable health plans of america12$433.84$433.84$433.841.0×
choice one inc epo/pos12$367.49$367.49$367.491.0×
choice one inc ppo12$408.32$408.32$408.321.0×
choicecare network ppo, pos, med adv12$408.32$408.32$408.321.0×
Emblem Health12$250.00$350.00$450.001.8×
encore exclusive22$128.80$128.80$128.801.0×
great west healthcare of texas12$449.15$449.15$449.151.0×
magellan healthcare12$280.00$352.50$425.001.5×
medavant healthcare solutions12$408.32$408.32$408.321.0×
medcorp southwest12$433.84$446.60$459.361.1×
Medicare Advantage22$205.54$240.58$275.621.3×
Molina12$125.00$175.00$225.001.8×
private healthcare systems12$408.32$421.08$433.841.1×
proamerica ppo12$433.84$433.84$433.841.0×
amerigroup commercial [5055]11$60.25$60.25$60.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Lifecare Spec Hosp Of North TexasDallasTX16$241.00$24.10$54.97$97.36$225.38
Baylor County Hospital DistrictSeymourTX10$410.00$287.00$65.00$80.00$141.28
Baylor Orthopedic And Spine HospitalArlingtonTX1$3,986.00$7,584.00$8,427.00
Limestone Medical CenterGroesbeckTX8$708.75$425.25$205.54$438.01$567.00
Rice Medical CenterEagle LakeTX23$510.40$357.28$1.00$408.32$510.40
Big Spring State HospitalBig SpringsTX21$455.00$227.50$63.25$325.98$404.95
Shannon Medical CenterSan AngeloTX21$455.00$227.50$63.25$325.98$404.95
River Crest HospitalSan AngeloTX21$455.00$227.50$63.25$325.98$404.95
San Angelo Community Medical CenterSan AngeloTX21$455.00$227.50$63.25$325.98$404.95
Golden Plains Community HospitalBorgerTX6$654.00$457.80$120.34$307.38$444.72
Voyages Of Sugar Land BhSugar LandTX14$699.52$699.52$125.00$250.00$450.00
Trinity Regional Hospital SachseSachseTX8$453.00$362.40$136.94$235.70$421.64
Wilson N Jones Regional Medical CtrShermanTX8$453.00$362.40$158.78$233.20$419.07
Crescent Medical Center LancasterLancasterTX12$657.00$427.00$131.00$205.50$20,688
Heritage Park Surgical HospitalShermanTX2$145.26$200.12$254.98
Acuity Hospital Of South TexasSan AntonioTX1$180.00$180.00$180.00
Eastland Memorial HospitalEastlandTX3$241.00$121.00$149.00$172.50$217.00
Childrens Medical Center Of PlanoPlanoTX4$170.14$170.14$170.14
Driscoll Childrens HospitalCorpus ChristiTX4$534.60$106.92$169.43$169.43$1,000.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$145.26$145.26$145.26
Ascension Seton Shoal CreekAustinTX7$109.40$128.80$210.50
Ascension Seton BastropBastropTX7$109.40$128.80$210.50
The Medical Ctr Of Southeast TexasPort ArthurTX0$688.72$688.72

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.