Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Pf Psych Diag Evaluation W/Med Serv
Low
$16
Average
$11.4k
Median
$224
High
$12827.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1154 hospitals; the 90th percentile is 3.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
1,962 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $444 | $435 | $89 | 20% | 210–219 | $323 – $539 |
| 2 | Carolinas Medical Center Davidson, NC other · outpatient | 4 | $89 | $89 | — | — | 109 | $89 – $89 |
| 3 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ per diem · outpatient | 3 | $436 | $351 | $192 | 55% | 98 | $85 – $532 |
| 4 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ per diem · outpatient | 3 | $436 | $351 | $192 | 55% | 98 | $85 – $532 |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $205 | $265 | $139 | 52% | 92 | $149 – $535 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $194 | $251 | $132 | 52% | 92 | $141 – $507 |
| 7 | McLean Hospital Belmont, MA percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $273 | $69 | 25% | 47 | $205 – $342 |
| 8 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $407 | $424 | $97 | 23% | 40–76 | $285 – $582 |
| 9 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 2 | $139 | $139 | — | — | 37 | $139 – $139 |
| 10 | Massachusetts General Hospital Boston, MA other · both | 1 | $196 | $196 | — | — | 30 | $196 – $196 |
| 11 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $714 | $714 | — | — | 28 | $714 – $714 |
| 12 | McLean Hospital Belmont, MA other · both | 1 | $197 | $197 | — | — | 27 | $197 – $197 |
| 13 | Salem Hospital Salem, MA other · both | 1 | $197 | $197 | — | — | 22 | $197 – $197 |
| 14 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $346 | $346 | — | — | 21 | $346 – $346 |
| 15 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · outpatient | 3 | $238 | $238 | — | — | 21–210 | $238 – $238 |
| 16 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $500 | $500 | — | — | 20 | $500 – $500 |
| 17 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $166 | $166 | — | — | 18 | $166 – $166 |
| 18 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $166 | $166 | — | — | 18 | $166 – $166 |
| 19 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $342 | $342 | — | — | 17 | $342 – $342 |
| 20 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.2k | $387 | 31% | 14 | $793 – $1.9k |
| 21 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $134 | $134 | — | — | 13–22 | $134 – $134 |
| 22 | The University of Texas Medical Branch Webster, TX other · both | 1 | $163 | $163 | — | — | 11 | $163 – $163 |
| 23 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $296 | $338 | $59 | 18% | 6–60 | $296 – $422 |
| 24 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM professional · percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | $21 | 12% | 4–40 | $147 – $189 |
| 25 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $326 | $326 | — | — | 3–30 | $326 – $326 |
← Payers reporting CPT 90792 · Snapshot 20261111T120946Z-9134e7f7