CPT 90792 Other
Psych diag eval w/med srvcs Cost
Body System: General
Medicare Facility Rate
$159
CMS PFS CY2026
Medicare Non-Facility Rate
$202
Office/clinic setting
Hospital Outpatient
$181
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.16
Work RVU
0.44
Facility PE RVU
0.17
Malpractice RVU
6.05
Total RVU
Frequently Asked Questions
How much does Psych diag eval w/med srvcs cost?
The Medicare facility rate is $159. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $181.
How much does Psych diag eval w/med srvcs cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $159.