Psychiatric Diagnostic Evaluation

CPT 9079134 Colorado hospitals reporting a negotiated rate

Comprehensive initial psychiatric evaluation by a licensed mental-health clinician. Covers diagnostic interview without medical services.

Typical insured price · Colorado

$168to$503

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $256.

$168$503

Cash price (median)

$280

What you'd pay self-pay

Gross charge (median)

$689

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 34 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 90791
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 34

How they price Psychiatric Diagnostic Evaluation

Across 34 Colorado hospitals that publish a commercial negotiated rate for CPT 90791, the typical insured price for Psychiatric Diagnostic Evaluation runs $168 to $503 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $256 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $280, against a median gross charge of $689.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

34 hospitals listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Position · Median	Your carrier's rate	Negotiated band	Cash	Payers
Commonspirit Orthocolorado Hospital Gross charge $478 Compare Metro Denver Metro Median negotiated $141 Your carrier's rate — 25th–75th $140 – $278 Cash $191 Payers 15	Denver Metro	$141	—	$140 – $278	$191	15
Commonspirit St Anthony Summit Medical Center Compare Metro Rest of Colorado Median negotiated $141 Your carrier's rate — 25th–75th $141 – $141 Cash — Payers 8	Rest of Colorado	$141	—	$141 – $141	—	8
Commonspirit Mercy Hospital Durango Compare Metro Rest of Colorado Median negotiated $141 Your carrier's rate — 25th–75th $141 – $141 Cash — Payers 10	Rest of Colorado	$141	—	$141 – $141	—	10
Commonspirit St Mary Corwin Hospital Pueblo Compare Metro Rest of Colorado Median negotiated $141 Your carrier's rate — 25th–75th $141 – $141 Cash — Payers 10	Rest of Colorado	$141	—	$141 – $141	—	10
Commonspirit St Francis Hospital Gross charge $700 Compare Metro Colorado Springs Median negotiated $147 Your carrier's rate — 25th–75th $141 – $280 Cash $280 Payers 15	Colorado Springs	$147	—	$141 – $280	$280	15
Commonspirit Longmont United Hospital Gross charge $478 Compare Metro Boulder Median negotiated $159 Your carrier's rate — 25th–75th $144 – $280 Cash $191 Payers 15	Boulder	$159	—	$144 – $280	$191	15
Commonspirit St Anthony North Hospital Gross charge $478 Compare Metro Denver Metro Median negotiated $159 Your carrier's rate — 25th–75th $137 – $280 Cash $191 Payers 16	Denver Metro	$159	—	$137 – $280	$191	16
Uchealth Parkview Medical Center Pueblo Compare Metro Rest of Colorado Median negotiated $161 Your carrier's rate — 25th–75th $161 – $170 Cash — Payers 7	Rest of Colorado	$161	—	$161 – $170	—	7
Uchealth Yampa Valley Medical Center Steamboat Springs Compare Metro Rest of Colorado Median negotiated $161 Your carrier's rate — 25th–75th $161 – $161 Cash — Payers 8	Rest of Colorado	$161	—	$161 – $161	—	8
Denver Health Medical Center Gross charge $509 Compare Metro Denver Metro Median negotiated $187 Your carrier's rate — 25th–75th $181 – $342 Cash $178 Payers 6	Denver Metro	$187	—	$181 – $342	$178	6
Commonspirit St Anthony Hospital Lakewood Gross charge $478 Compare Metro Denver Metro Median negotiated $190 Your carrier's rate — 25th–75th $120 – $280 Cash $191 Payers 14	Denver Metro	$190	—	$120 – $280	$191	14
Commonspirit St Francis Hospital Interquest Gross charge $700 Compare Metro Colorado Springs Median negotiated $195 Your carrier's rate — 25th–75th $141 – $314 Cash $280 Payers 14	Colorado Springs	$195	—	$141 – $314	$280	14
Uchealth University of Colorado Hospital Aurora Gross charge $463 Compare Metro Denver Metro Median negotiated $196 Your carrier's rate — 25th–75th $161 – $272 Cash $162 Payers 15	Denver Metro	$196	—	$161 – $272	$162	15
Pikes Peak Regional Hospital Woodland Park Compare Metro Colorado Springs Median negotiated $205 Your carrier's rate — 25th–75th $168 – $671 Cash — Payers 2	Colorado Springs	$205	—	$168 – $671	—	2
Uchealth Memorial Hospital Central Colorado Springs Gross charge $655 Compare Metro Colorado Springs Median negotiated $216 Your carrier's rate — 25th–75th $161 – $301 Cash $295 Payers 14	Colorado Springs	$216	—	$161 – $301	$295	14
Uchealth Memorial Hospital North Colorado Springs Gross charge $558 Compare Metro Colorado Springs Median negotiated $216 Your carrier's rate — 25th–75th $161 – $301 Cash $251 Payers 14	Colorado Springs	$216	—	$161 – $301	$251	14
Hca Healthone Rose Medical Center Compare Metro Denver Metro Median negotiated $256 Your carrier's rate — 25th–75th $256 – $256 Cash — Payers 1	Denver Metro	$256	—	$256 – $256	—	1
Uchealth Longs Peak Hospital Longmont Gross charge $689 Compare Metro Boulder Median negotiated $256 Your carrier's rate — 25th–75th $161 – $406 Cash $241 Payers 14	Boulder	$256	—	$161 – $406	$241	14
Uchealth Grandview Hospital Colorado Springs Gross charge $689 Compare Metro Colorado Springs Median negotiated $257 Your carrier's rate — 25th–75th $173 – $344 Cash $241 Payers 13	Colorado Springs	$257	—	$173 – $344	$241	13
Uchealth Greeley Hospital Gross charge $434 Compare Metro Rest of Colorado Median negotiated $266 Your carrier's rate — 25th–75th $161 – $338 Cash $260 Payers 12	Rest of Colorado	$266	—	$161 – $338	$260	12
Uchealth Highlands Ranch Hospital Gross charge $689 Compare Metro Denver Metro Median negotiated $275 Your carrier's rate — 25th–75th $161 – $404 Cash $207 Payers 12	Denver Metro	$275	—	$161 – $404	$207	12
Uchealth Poudre Valley Hospital Fort Collins Gross charge $473 Compare Metro Fort Collins Median negotiated $278 Your carrier's rate — 25th–75th $167 – $390 Cash $331 Payers 16	Fort Collins	$278	—	$167 – $390	$331	16
Uchealth Medical Center of the Rockies Loveland Gross charge $434 Compare Metro Fort Collins Median negotiated $278 Your carrier's rate — 25th–75th $168 – $390 Cash $304 Payers 16	Fort Collins	$278	—	$168 – $390	$304	16
Hca Healthone Aurora Medical Center of Aurora Gross charge $856 Compare Metro Denver Metro Median negotiated $375 Your carrier's rate — 25th–75th $242 – $555 Cash $856 Payers 14	Denver Metro	$375	—	$242 – $555	$856	14
Commonspirit St Elizabeth Hospital Fort Morgan Gross charge $590 Compare Metro Rest of Colorado Median negotiated $484 Your carrier's rate — 25th–75th $141 – $563 Cash $236 Payers 12	Rest of Colorado	$484	—	$141 – $563	$236	12
Uchealth Estes Valley Medical Center Estes Park Gross charge $536 Compare Metro Fort Collins Median negotiated $509 Your carrier's rate — 25th–75th $263 – $509 Cash $402 Payers 15	Fort Collins	$509	—	$263 – $509	$402	15
Children S Hospital Colorado Colorado Springs Gross charge $2,661 Compare Metro Colorado Springs Median negotiated $571 Your carrier's rate — 25th–75th $437 – $895 Cash $1,730 Payers 35	Colorado Springs	$571	—	$437 – $895	$1,730	35
Boulder Community Health Foothills Hospital Gross charge $1,285 Compare Metro Boulder Median negotiated $688 Your carrier's rate — 25th–75th $238 – $1,092 Cash $643 Payers 33	Boulder	$688	—	$238 – $1,092	$643	33
Hca Healthone Mountain Ridge Thornton Gross charge $1,478 Compare Metro Denver Metro Median negotiated $705 Your carrier's rate — 25th–75th $383 – $1,035 Cash $1,478 Payers 15	Denver Metro	$705	—	$383 – $1,035	$1,478	15
Grand River Health Rifle Gross charge $229 Compare Metro Rest of Colorado Median negotiated $903 Your carrier's rate — 25th–75th $903 – $903 Cash $115 Payers 1	Rest of Colorado	$903	—	$903 – $903	$115	1
Commonspirit St Thomas More Hospital Ca on City Compare Metro Rest of Colorado Median negotiated $1,214 Your carrier's rate — 25th–75th $1,214 – $1,214 Cash — Payers 1	Rest of Colorado	$1,214	—	$1,214 – $1,214	—	1
Hca Healthone Presbyterian St Luke S Medical Center Gross charge $3,649 Compare Metro Denver Metro Median negotiated $1,691 Your carrier's rate — 25th–75th $946 – $2,335 Cash $3,649 Payers 15	Denver Metro	$1,691	—	$946 – $2,335	$3,649	15
Hca Healthone Swedish Medical Center Gross charge $4,249 Compare Metro Denver Metro Median negotiated $1,870 Your carrier's rate — 25th–75th $1,090 – $2,719 Cash $4,249 Payers 14	Denver Metro	$1,870	—	$1,090 – $2,719	$4,249	14
Hca Healthone Sky Ridge Medical Center Gross charge $4,687 Compare Metro Denver Metro Median negotiated $1,985 Your carrier's rate — 25th–75th $1,167 – $3,105 Cash $4,687 Payers 13	Denver Metro	$1,985	—	$1,167 – $3,105	$4,687	13

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS) →

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Psychiatric Diagnostic Evaluation cost in Colorado?

Across 34 Colorado hospitals that publish a commercial negotiated rate, the median is $256. The middle half of hospitals fall between $168 and $503 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Psychiatric Diagnostic Evaluation under 92 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Psychiatric Diagnostic Evaluation if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $280. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS) →

What does CPT 90791 mean?

CPT 90791 is the CPT (Current Procedural Terminology) code for Psychiatric Diagnostic Evaluation. It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.