What is the typical price for Psychiatric Diagnostic Evaluation in Colorado?

Across 34 Colorado hospitals reporting a commercial negotiated rate for CPT 90791, the 25th-to-75th percentile band runs $168 to $503 per hospital median. The 50th-percentile (Colorado median) is $256.

Why is the price range for Psychiatric Diagnostic Evaluation so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 3.0× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

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 offer a self-pay rate that's 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.

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 MRF reports rates against this code.

Psychiatric Diagnostic Evaluation

CPT 9079134 Colorado hospitals reporting

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 — half of negotiated 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, anaesthesia, 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

Pin a plan

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

Common questions

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

What is the typical price for Psychiatric Diagnostic Evaluation in Colorado?: Across 34 Colorado hospitals reporting a commercial negotiated rate for CPT 90791, the 25th-to-75th percentile band runs $168 to $503 per hospital median. The 50th-percentile (Colorado median) is $256.
Why is the price range for Psychiatric Diagnostic Evaluation so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 3.0× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
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 offer a self-pay rate that's 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.
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 MRF 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.