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Psychiatric eval with medical services

CPT 90792 · negotiated-rate distribution across hospitals in WI

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Hospitals
21
Min
$117.38
Median
$171.75
Max
$578.09
Range multiplier
4.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS636$108.23$183.95$747.636.9×
Medicare1329$19.10$156.01$197.6810.3×
VA Health1122$154.46$156.01$163.271.1×
UnitedHealthcare820$18.92$183.00$578.0930.6×
Humana617$152.81$578.09$578.093.8×
aspirus115$61.64$170.71$445.347.2×
smart health714$218.41$218.41$228.581.0×
Molina613$152.81$324.37$344.102.3×
First Health410$45.90$215.90$442.809.6×
Blue Cross Blue Shield310$18.56$152.44$474.3625.6×
prevea 36018$155.19$455.60$668.934.3×
security health plan38$80.40$176.91$236.092.9×
network health plan68$98.79$212.09$283.412.9×
Cigna38$75.04$180.16$222.673.0×
wps77$486.98$486.98$486.981.0×
group health cooperative of eau claire26$111.00$208.28$241.302.2×
mercy care16$93.80$240.46$275.442.9×
Multiplan26$126.26$236.22$241.301.9×
security health plan (shp)15$132.03$146.71$153.151.2×
health partners35$108.23$152.81$241.302.2×
trilogy14$228.60$228.60$228.601.0×
Medicaid24$82.22$256.37$410.545.0×
smarthealth24$216.24$216.24$216.241.0×
WellCare24$162.18$162.18$162.181.0×
quartz health insurance13$117.94$117.94$117.941.0×
health payment systems23$117.38$176.78$176.781.5×
alliance33$472.66$472.66$472.661.0×
medica [900156]23$159.74$168.71$291.731.8×
quartz23$144.78$153.15$231.581.6×
wps health plan13$105.45$117.94$124.881.2×
froedtert health13$97.13$111.00$117.941.2×
health partners open network12$215.72$243.32$270.911.3×
Aetna12$122.10$122.80$123.491.0×
amish/mennonite12$139.70$139.70$139.701.0×
cchp22$256.97$256.97$256.971.0×
centivo nw122$528.09$528.09$528.091.0×
centivo nw322$528.09$528.09$528.091.0×
common ground healthcare cooperative12$104.06$111.00$117.941.1×
dean health plan12$111.00$111.00$111.001.0×
healthpartners [900713]22$378.84$388.79$398.741.1×
icare22$152.81$158.34$163.871.1×
illinicare12$155.19$157.19$159.181.0×
ma wisconsin replacement [950271]12$196.00$201.50$207.001.1×
medical associates health plan12$267.20$475.04$682.882.6×
meridiancare12$155.19$161.17$167.141.1×
trilogy health solutions12$104.06$111.00$117.941.1×
unitedhealth group of wi12$153.15$171.70$190.251.2×
wps health insurance12$170.94$170.94$170.941.0×
medical college of wisconsin11$97.13$97.13$97.131.0×
mayo clinic health solutions11$120.71$120.71$120.711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$183.00$578.09$578.09
Ascension Columbia St Marys OzaukeeMequonWI7$766.00$405.98$156.41$344.10$578.09
Ascension Columbia St Marys MilwaukeMilwaukeeWI7$766.00$405.98$156.41$344.10$578.09
Meriter Hospital Inc.MadisonWI14$786.98$629.59$61.64$234.50$747.63
Amery Regional Medical CenterAmeryWI7$492.00$256.53$18.56$195.83$442.80
Beaver Dam Community HospitalsBeaver DamWI20$254.00$241.30$128.98$187.96$243.84
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$798.00$454.86$154.46$183.95$528.09
Mercy Medical CenterOshkoshWI9$798.00$454.86$154.46$183.95$528.09
Westfields HospitalNew RichmondWI8$207.00$108.88$82.22$171.75$410.54
Wheaton Franciscan Healthcare - AllRacineWI4$532.00$281.96$163.27$163.27$486.98
All Saints - St. Luke S HospitalRacineWI4$532.00$281.96$163.27$163.27$486.98
Ascension Se Wisconsin Hospital IncMilwaukeeWI4$156.01$156.01$486.98
Wfhc - Elmbrook MemorialBrookfieldWI4$156.01$156.01$486.98
Wheaton Franciscan - FranklinFranklinWI4$156.01$156.01$486.98
MoshFranklinWI4$156.01$156.01$486.98
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI4$156.01$156.01$486.98
Holy Family Memorial IncManitowocWI10$152.81$152.81$165.04
Childrens WisconsinMilwaukeeWI29$138.75$76.31$97.13$117.38$131.81
River Falls Area HospitalRiver FallsWI0$468.10$262.14
University Of Wi Hospitals & ClinicsMadisonWI0$229.00$137.40
Uw Health Rehabilitation HospitalMadisonWI0$229.00$137.40

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.