Price Checker / CPT 90792

How much does Psych Diagnostic Evaluation W/med Srvcs cost?

CPT 90792 · Based on 2026 Medicare rates and hospital-published pricing

Slightly high

The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.

Fair price

$430–$510

What this should cost

With insurance

~$141,100

Typical out-of-pocket

Overcharged if over

$640

Push back above this

The average hospital charge of $577 is $107 over the fair price.

What hospitals charge for Psych Diagnostic Evaluation W/med Srvcs

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
John George Psychiatric Hospital

San Leandro, CA

$2821511%
UM Rehabilitation & Orthopaedic Institute

Baltimore, MD

$2,057918%
Gateways Hospital and Mental Health Center

Los Angeles, CA

$1,322554%
UM Shore Medical Center at Cambridge

, MD

$1,071430%
UPMC Western Psychiatric

, PA

$913$730352%
Pennsylvania Psychiatric Institute

Harrisburg, PA

$852237%
Haven Behavioral Hospital of Eastern Pennsylvania

READING, PA

$576185%
Haven Behavioral Hospital of Philadelphia

PHILADELPHIA, PA

$500147%
Barnes-Kasson County Hospital

SUSQUEHANNA, PA

$421$295108%
NATCHAUG HOSPITAL

MANSFIELD CENTER, CT

$304100%
Pine Rest Christian Mental Health Services

GRAND RAPIDS, MI

$385$30891%
Lindner Center of Hope

MASON, OH

$37082%
Haven Behavioral Hospital of West Chester

WEST CHESTER, PA

$35777%
Haven Behavioral Hospital of Albuquerque

ALBUQUERQUE, NM

$34470%
Aspire Health Partners, Inc

Orlando, FL

$48049%

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About Psych Diagnostic Evaluation W/med Srvcs

CPT code 90792 refers to psych diagnostic evaluation w/med srvcs (billing description: "Psych diag eval w/med srvcs"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $159 in a facility (hospital or surgery center) and $202 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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