▸ Hospital · PA · CCN 390164
UPMC Western Psychiatric Hospital
200 LOTHROP STREET, PITTSBURGH, PA, 15213
1,093 bedsAcute Care Hospitals2
Compliance grade
B
87/100
Procedures tracked
16
of 209 target codes
Payers
5
with negotiated rates
Rates published
8,432
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 5 | $1,655 | $993 | $25 | $292.51 | $1,406.75 |
| Psychiatric eval with medical services | CPT | 90792 | 5 | $2,127 | $1,276.2 | $165.43 | $701.91 | $1,807.95 |
| Psychotherapy 30 minutes | CPT | 90832 | 5 | $280 | $168 | $51 | $155.7 | $238 |
| Psychotherapy 45 minutes | CPT | 90834 | 5 | $479 | $287.4 | $88.5 | $218.7 | $407.15 |
| Psychotherapy 60 minutes | CPT | 90837 | 5 | $424 | $254.4 | $100 | $240 | $360.4 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 5 | $707 | $424.2 | $176.75 | $388.85 | $600.95 |
| imaging | ||||||||
| EKG tracing only | CPT | 93005 | 5 | $727 | $436.2 | $16.44 | $399.85 | $617.95 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 5 | $334 | $200.4 | $73.52 | $178.2 | $283.9 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 5 | $432 | $259.2 | $94.97 | $244.8 | $367.2 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 5 | $668 | $400.8 | $121.78 | $300 | $567.8 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 5 | $843 | $505.8 | $147.82 | $362.4 | $716.55 |
| Office visit, established patient, 5 min | CPT | 99211 | 5 | $311 | $186.6 | $33.36 | $102.6 | $264.35 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 5 | $472 | $283.2 | $39.83 | $131.25 | $401.2 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 5 | $710 | $426 | $53.29 | $184.5 | $603.5 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 5 | $947 | $568.2 | $62.45 | $238 | $804.95 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 5 | $1,182 | $709.2 | $72.83 | $296 | $1,004.7 |
Payer mix (top 5)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 16 | $125.5 |
| Blue Cross Blue Shield | 16 | $167 |
| Cigna | 16 | $241.2 |
| fidelis | 16 | $301.5 |
| health payors organization | 16 | $341.7 |