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
Pysch Eval W/O Med Services
Ozark, MO
See all hospitals reporting CPT 90791 →Price type
Mercy Hospital Springfield’s median price of $223 is 9% above the median hospital's median price ($205), higher than 58% of the 1,752 hospitals reporting CPT 90791. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 2 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 3 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 4 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 5 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 6 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $164 | $162 | $22 | 14% | — | $120 – $198 |
| 7 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $169 | $167 | $23 | 14% | — | $124 – $204 |
| 8 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $207 | $205 | $28 | 14% | — | $152 – $251 |
| 9 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $207 | $205 | $28 | 14% | — | $152 – $251 |
| 10 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $207 | $205 | $28 | 14% | — | $152 – $251 |
| 11 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $207 | $205 | $28 | 14% | — | $152 – $251 |
| 12 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $207 | $205 | $28 | 14% | — | $152 – $251 |
| 13 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $207 | $205 | $28 | 14% | — | $152 – $251 |
| 14 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 15 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $232 | $230 | $31 | 14% | — | $170 – $281 |
| 16 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 17 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $282 | $279 | $38 | 14% | — | $207 – $341 |
| 18 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $286 | $283 | $38 | 14% | — | $210 – $346 |
| 19 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $302 | $299 | $40 | 14% | — | $222 – $365 |
| 20 | Medica hb sprg ubh commercial facility · per diem · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 21 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $316 | $313 | $42 | 14% | — | $232 – $383 |
| 22 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $319 | $316 | $43 | 14% | — | $234 – $386 |
| 23 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $319 | $316 | $43 | 14% | — | $234 – $386 |
| 24 | UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 25 | Optum hb sprg uhc all payer facility · per diem · outpatient | $411 | $411 | — | — | — | $411 – $411 |
Last updated: Jun 4, 2026
See Psychiatric diagnostic evaluation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.