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Procedure price report · Psychological and psychiatric evaluation and therapy

Psychiatric diagnostic evaluation

CPT 90791the billing code this page is about

An initial mental health assessment that includes a history, mental status exam, and treatment recommendations, without medical services such as prescribing.

Hospitals typically charge $244 cash for this outpatient procedure — the median across 1,937 hospitals that filed a usable cash price; the average of the middle 60% is $253. Most fall between $142 and $408 (20th–80th percentile).

Hospitals
1,937
States
50
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,937 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$101$157$244$363$536

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($101 vs $536).

How the prices are spread

$73 – $92: 57 hospitals$73$92 – $116: 119 hospitals$116 – $146: 131 hospitals$116$146 – $184: 276 hospitals$184 – $232: 236 hospitals$184$232 – $293: 265 hospitals$293 – $370: 285 hospitals$293$370 – $468: 169 hospitals$468 – $590: 130 hospitals$468$590 – $745: 77 hospitals$590median $244price bands are equal on a log scale
Hospitals per price band (1,745 of 1,937 — the bands cover the 5th to 95th percentile)
FromToHospitals
$73$9257
$92$116119
$116$146131
$146$184276
$184$232236
$232$293265
$293$370285
$370$468169
$468$590130
$590$74577

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$244
Cash as a multiple of Medicare1.35×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $244.

Alaska: median $387 across 12 hospitalsAK$387Maine: median $206 across 23 hospitalsME$206Vermont: median $217 across 11 hospitalsVT$217New Hampshire: median $160 across 17 hospitalsNH$160Washington: median $305 across 47 hospitalsWA$305Idaho: median $311 across 13 hospitalsID$311Montana: median $221 across 21 hospitalsMT$221North Dakota: median $302 across 11 hospitalsND$302Minnesota: median $256 across 74 hospitalsMN$256Illinois: median $262 across 91 hospitalsIL$262Wisconsin: median $219 across 73 hospitalsWI$219Michigan: median $214 across 75 hospitalsMI$214New York: median $257 across 102 hospitalsNY$257Massachusetts: median $363 across 46 hospitalsMA$363Oregon: median $197 across 44 hospitalsOR$197Nevada: median $343 across 13 hospitalsNV$343Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $267 across 12 hospitalsSD$267Iowa: median $196 across 51 hospitalsIA$196Indiana: median $187 across 66 hospitalsIN$187Ohio: median $313 across 82 hospitalsOH$313Pennsylvania: median $181 across 72 hospitalsPA$181New Jersey: median $189 across 53 hospitalsNJ$189Connecticut: median $343 across 23 hospitalsCT$343Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $361 across 116 hospitalsCA$361Utah: median $266 across 20 hospitalsUT$266Colorado: median $241 across 42 hospitalsCO$241Nebraska: median $218 across 41 hospitalsNE$218Missouri: median $238 across 39 hospitalsMO$238Kentucky: median $163 across 36 hospitalsKY$163West Virginia: median $165 across 25 hospitalsWV$165Virginia: median $299 across 40 hospitalsVA$299Maryland: median $335 across 27 hospitalsMD$335Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $220 across 14 hospitalsAZ$220New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $191 across 39 hospitalsKS$191Arkansas: median $147 across 10 hospitalsAR$147Tennessee: median $160 across 17 hospitalsTN$160North Carolina: median $139 across 48 hospitalsNC$139South Carolina: median $355 across 32 hospitalsSC$355Oklahoma: median $284 across 29 hospitalsOK$284Louisiana: median $122 across 30 hospitalsLA$122Mississippi: median $140 across 34 hospitalsMS$140Alabama: median $158 across 13 hospitalsAL$158Georgia: median $487 across 42 hospitalsGA$487Hawaii: median $188 across 10 hospitalsHI$188Texas: median $354 across 114 hospitalsTX$354Florida: median $239 across 61 hospitalsFL$239
Cash price by state, most expensive first. National median $244. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA42$487+99%$161 – $628
Alaska AK12$387+58%$248 – $564
Massachusetts MA46$363+49%$260 – $499
California CA116$361+48%$214 – $659
South Carolina SC32$355+45%$289 – $355
Texas TX114$354+45%$160 – $436
Nevada NV13$343+41%$180 – $1,177
Connecticut CT23$343+40%$241 – $535
Maryland MD27$335+37%$168 – $758
Ohio OH82$313+28%$194 – $442
Idaho ID13$311+27%$125 – $466
Washington WA47$305+25%$183 – $337
North Dakota ND11$302+24%$165 – $426
Virginia VA40$299+23%$154 – $361
Oklahoma OK29$284+16%$128 – $304
South Dakota SD12$267+9%$186 – $307
Utah UT20$266+9%$218 – $311
Illinois IL91$262+7%$123 – $375
New York NY102$257+5%$161 – $400
Minnesota MN74$256+5%$112 – $393
Colorado CO42$241−1%$138 – $778
Florida FL61$239−2%$161 – $419
Missouri MO39$238−3%$144 – $262
Montana MT21$221−10%$124 – $274
Arizona AZ14$220−10%$165 – $566
Wisconsin WI73$219−10%$168 – $299
Nebraska NE41$218−11%$137 – $311
Vermont VT11$217−11%$183 – $385
Michigan MI75$214−12%$151 – $289
Maine ME23$206−16%$95 – $333
Oregon OR44$197−19%$131 – $425
Iowa IA51$196−20%$131 – $324
Kansas KS39$191−22%$126 – $262
New Jersey NJ53$189−22%$161 – $429
Hawaii HI10$188−23%$117 – $359
Indiana IN66$187−23%$116 – $364
Pennsylvania PA72$181−26%$113 – $491
West Virginia WV25$165−32%$150 – $244
Kentucky KY36$163−33%$115 – $831
New Hampshire NH17$160−34%$94 – $258
Tennessee TN17$160−35%$97 – $292
Alabama AL13$158−35%$125 – $282
Arkansas AR10$147−40%$96 – $182
Mississippi MS34$140−43%$78 – $186
North Carolina NC48$139−43%$70 – $241
Louisiana LA30$122−50%$57 – $235
New Mexico NM9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $244.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,395$254$141 – $442
Children’s42$282$111 – $470
Critical access492$224$149 – $347
Ownership
For-profit148$315$153 – $672
Government353$218$133 – $350
Non-profit1,428$250$143 – $403
System affiliation
Part of a system1,577$250$142 – $424
Independent360$231$142 – $373

Cash price vs list price

Median list price (chargemaster)$405
Median cash price$244
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,319 hospitals filed a usable inpatient cash price for this code. The median is $269 and the average of the middle 60% is $274; most fall between $153 and $430.

Cash price percentiles, inpatient, across 1,319 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$108$170$269$387$558

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($108 vs $558).

Of the 1,395 hospitals that filed this code inpatient, 1,319 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 53 a list price only.

How complete is this

1,937 of the 3,956 hospitals with a price file in our corpus (49%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,038 hospitals that filed this code at all gave us
Usable cash price — counted1,937
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded64
Hospitals that filed this code2,038

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Psychological and psychiatric evaluation and therapy family.

Hospitals file this code under descriptions such as Psychiatric Diagnostic Evaluation.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Psychiatric diagnostic evaluation (CPT 90791) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90791-psychiatric-diagnostic-evaluation