Psychiatric diagnostic evaluation with medical services
Medicare pricing data for 30,078 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Psychiatric diagnostic evaluation with medical services (HCPCS code 90792) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $168.05, but hospitals typically charge $395.06 — a 2.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $168.05, your out-of-pocket cost would be approximately $33.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $126.61 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $228 | $620 | 71 | 517 | +35.6% |
| New York | $190 | $459 | 2,389 | 55,991 | +13.2% |
| District of Columbia | $182 | $389 | 110 | 1,243 | +8.4% |
| Connecticut | $178 | $335 | 463 | 5,035 | +5.8% |
| California | $176 | $462 | 2,389 | 46,820 | +5.0% |
| Puerto Rico | $173 | $213 | 65 | 225 | +3.2% |
| Delaware | $172 | $266 | 97 | 3,788 | +2.6% |
| Pennsylvania | $172 | $327 | 1,224 | 18,470 | +2.6% |
| Maryland | $171 | $337 | 866 | 11,612 | +2.0% |
| Massachusetts | $171 | $438 | 1,264 | 17,216 | +1.7% |
| Illinois | $171 | $369 | 1,226 | 24,307 | +1.6% |
| Nevada | $170 | $386 | 278 | 4,120 | +1.0% |
| Rhode Island | $169 | $416 | 256 | 3,666 | +0.9% |
| New Jersey | $168 | $526 | 1,210 | 37,250 | +0.2% |
| Oklahoma | $168 | $307 | 191 | 2,310 | +0.2% |
| Michigan | $168 | $362 | 986 | 15,058 | +0.1% |
| Washington | $168 | $450 | 553 | 5,723 | -0.1% |
| Hawaii | $168 | $358 | 96 | 1,148 | -0.2% |
| Colorado | $167 | $485 | 440 | 3,687 | -0.7% |
| West Virginia | $166 | $300 | 211 | 1,204 | -1.0% |
| Texas | $166 | $359 | 1,811 | 32,715 | -1.0% |
| Virginia | $166 | $359 | 808 | 15,915 | -1.2% |
| Wyoming | $166 | $351 | 39 | 258 | -1.4% |
| Missouri | $165 | $342 | 547 | 7,788 | -1.5% |
| New Hampshire | $165 | $313 | 147 | 1,677 | -1.8% |
| Oregon | $165 | $505 | 309 | 2,111 | -2.0% |
| Montana | $163 | $362 | 78 | 969 | -2.7% |
| Georgia | $163 | $326 | 718 | 10,959 | -3.2% |
| Utah | $163 | $333 | 213 | 1,490 | -3.2% |
| New Mexico | $162 | $337 | 149 | 1,678 | -3.5% |
| Nebraska | $162 | $435 | 263 | 3,061 | -3.5% |
| Minnesota | $162 | $520 | 394 | 3,263 | -3.7% |
| Kansas | $162 | $359 | 266 | 4,240 | -3.7% |
| South Dakota | $162 | $305 | 47 | 477 | -3.8% |
| South Carolina | $162 | $335 | 461 | 6,795 | -3.8% |
| Florida | $162 | $340 | 1,628 | 47,247 | -3.9% |
| Arizona | $161 | $431 | 868 | 8,531 | -4.0% |
| Vermont | $161 | $340 | 75 | 697 | -4.3% |
| Wisconsin | $161 | $468 | 637 | 7,660 | -4.5% |
| Louisiana | $160 | $298 | 443 | 9,296 | -4.6% |
| North Dakota | $160 | $456 | 107 | 895 | -5.1% |
| Idaho | $159 | $365 | 119 | 899 | -5.3% |
| Iowa | $158 | $344 | 354 | 4,052 | -5.8% |
| Alabama | $158 | $325 | 281 | 6,142 | -6.0% |
| Ohio | $158 | $316 | 1,176 | 20,939 | -6.3% |
| North Carolina | $157 | $395 | 1,019 | 19,148 | -6.3% |
| Kentucky | $157 | $381 | 554 | 7,841 | -6.9% |
| Mississippi | $156 | $310 | 250 | 4,291 | -7.0% |
| Indiana | $154 | $302 | 496 | 6,515 | -8.2% |
| Arkansas | $153 | $328 | 346 | 5,292 | -9.0% |
| Maine | $153 | $433 | 260 | 2,450 | -9.2% |
| Tennessee | $150 | $425 | 818 | 17,208 | -10.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber