▸ Payer

evernorth behavioral health

Negotiated rates published by hospitals for evernorth behavioral health across 4 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

200

Median neg. rate

$69.02

Top procedures for evernorth behavioral health

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Office visit, established patient, 20-29 minutes	CPT	99213	10	$51.26
Office visit, established patient, 30-39 minutes	CPT	99214	10	$80.56
Office visit, new patient, 30-44 minutes	CPT	99203	10	$95.12
Office visit, new patient, 15-29 min	CPT	99202	10	$63.72
Office visit, new patient, 45-59 min	CPT	99204	10	$134.67
Office visit, new patient, 60-74 min	CPT	99205	10	$171.42
Office visit, established patient, 5 min	CPT	99211	10	$20.73
Office visit, established patient, 10-19 min	CPT	99212	10	$37.61
Office visit, established patient, 40-54 min	CPT	99215	10	$117.66
Initial hospital care, low complexity	CPT	99221	10	$67.81
Initial hospital care, moderate complexity	CPT	99222	10	$112.11
Initial hospital care, high complexity	CPT	99223	10	$156.04
Hospital discharge, <30 min	CPT	99238	10	$70.03
Hospital discharge, >30 min	CPT	99239	10	$100
Psychiatric diagnostic evaluation	CPT	90791	10	$65
Psychiatric eval with medical services	CPT	90792	10	$65
Psychotherapy 30 minutes	CPT	90832	10	$35
Psychotherapy 45 minutes	CPT	90834	10	$63
Psychotherapy 60 minutes	CPT	90837	10	$68
Crisis psychotherapy 60 minutes	CPT	90839	10	$225

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Emerald Coast Behavioral Hospital	Panama City	FL	$89.99
Ascension Allegan Hospital	Allegan	MI	$89.99
Genesys Regional Medical Ctr.	Grand Blanc	MI	$89.99
Ascension Borgess-Lee Hospital	Dowagiac	MI	$89.99
Borgess-Pipp Health Center	Plainwell	MI	$89.99
Ascension Standish Hospital	Standish	MI	$89.99
Ascension Borgess Hospital	Kalamazoo	MI	$89.99
Providence Hospital	Mobile	AL	$89.99
St. Marys Sacred Heart Hospital	Lavonia	GA	$89.99
Ascension Providence Rochester Hospi	Rochester	MI	$89.99

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States with hospitals publishing rates for evernorth behavioral health.

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