How much does a Psychiatric evaluation (first visit) typically cost in the United States?

Across 1,639 U.S. hospitals in 52 states, the modeled national fair BaseRate for Psychiatric evaluation (first visit) is $187, with most hospital negotiated prices falling between $146 and $300.

Why do hospital prices for Psychiatric evaluation (first visit) vary across facilities?

Commercial rates are negotiated individually between hospital systems and insurers, creating wide local dispersion even within the same metro area. Comparing facility-specific cash and in-network rates before scheduling care helps avoid overpaying.

National price data · 1,639 hospitals

Psychiatric evaluation (first visit) cost

What a psychiatric evaluation (first visit) costs across the U.S. — and the fair price to aim for.

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Newberry County Memorial Hospital maintains elevated commercial insurance contracts (1.06× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 72% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#26 of 52 in SC · 48th State Percentile#1,557 of 3,385 in U.S. · 45th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.59× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 72% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 77% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (3.2×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.33×) jump +25% above the median procedure ratio (Q50 1.06×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+25% Upper Tail

Q25 0.59× · Q50 1.06× · Q75 1.33×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.2× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

72% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · Psychiatric evaluation (first visit)

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State

AK1.45× 1.5× Med ME1.21× 1.3× Med WA1.28× 1.4× Med ID0.91× 1.0× Med MT1.12× 1.2× Med ND0.89× 1.0× Med MN0.91× 1.0× Med WI0.89× 0.9× Med MI0.89× 1.0× Med VT0.89× 1.0× Med NH1.01× 1.1× Med OR1.18× 1.3× Med NV1.03× 1.1× Med WY1.27× 1.4× Med SD0.89× 0.9× Med IA0.92× 1.0× Med IL1.05× 1.1× Med IN0.97× 1.0× Med OH0.94× 1.0× Med PA0.89× 0.9× Med NY1.20× 1.3× Med MA1.14× 1.2× Med CA1.23× 1.3× Med UT0.92× 1.0× Med CO0.87× 0.9× Med NE1.10× 1.2× Med MO1.05× 1.1× Med KY0.85× 0.9× Med WV0.81× 0.9× Med VA1.14× 1.2× Med MD1.46× 1.6× Med NJ1.10× 1.2× Med CT1.05× 1.1× Med AZ1.10× 1.2× Med NM1.10× 1.2× Med KS0.91× 1.0× Med AR0.83× 0.9× Med TN0.90× 1.0× Med NC0.95× 1.0× Med SC1.63× 1.7× Med DE1.26× 1.3× Med DC1.31× 1.9× Med RI1.14× 1.2× Med OK1.02× 1.1× Med LA0.84× 0.9× Med MS0.96× 1.0× Med AL0.86× 0.9× Med GA1.05× 1.1× Med HI0.86× 0.9× Med TX1.01× 1.1× Med FL1.03× 1.1× Med PR0.77× 1.1× Med

PR0.77×1.1× Med WV0.81×0.9× Med AR0.83×0.9× Med LA0.84×0.9× Med KY0.85×0.9× Med AL0.86×0.9× Med HI0.86×0.9× Med CO0.87×0.9× Med MI0.89×1.0× Med ND0.89×1.0× Med PA0.89×0.9× Med SD0.89×0.9× Med VT0.89×1.0× Med WI0.89×0.9× Med TN0.90×1.0× Med ID0.91×1.0× Med KS0.91×1.0× Med MN0.91×1.0× Med IA0.92×1.0× Med UT0.92×1.0× Med OH0.94×1.0× Med NC0.95×1.0× Med MS0.96×1.0× Med IN0.97×1.0× Med NH1.01×1.1× Med TX1.01×1.1× Med OK1.02×1.1× Med FL1.03×1.1× Med NV1.03×1.1× Med CT1.05×1.1× Med GA1.05×1.1× Med IL1.05×1.1× Med MO1.05×1.1× Med AZ1.10×1.2× Med NE1.10×1.2× Med NJ1.10×1.2× Med NM1.10×1.2× Med MT1.12×1.2× Med MA1.14×1.2× Med RI1.14×1.2× Med VA1.14×1.2× Med OR1.18×1.3× Med NY1.20×1.3× Med ME1.21×1.3× Med CA1.23×1.3× Med DE1.26×1.3× Med WY1.27×1.4× Med WA1.28×1.4× Med DC1.31×1.9× Med AK1.45×1.5× Med MD1.46×1.6× Med SC1.63×1.7× Med

5 Lowest-Price States (Confounder-Isolated Value Leaders)

PR0.77×(1.1×)WV0.81×(0.9×)AR0.83×(0.9×)LA0.84×(0.9×)KY0.85×(0.9×)

5 Highest-Markup States (Strict Bill Audit Recommended)

SC1.63×(1.7×)MD1.46×(1.6×)AK1.45×(1.5×)DC1.31×(1.9×)WA1.28×(1.4×)

The BaseRate high confidence

$187

the fair national price for a psychiatric evaluation (first visit)

typically $146–$300 across 1,639 hospitals · how we calculate it

modeled estimate · not a bill or quote

1,639

hospitals priced

states

2.1×

price spread — where shopping matters

1.1×

vs. Medicare

Across 1,639 hospitals in 52 states, a psychiatric evaluation (first visit) has a fair BaseRate of $187 and typically costs $146–$300. The cheapest state is WV; the priciest is SC.

Cheapest hospitals for a psychiatric evaluation (first visit)

Psychiatric evaluation (first visit) cost by state

AK $268 6 hospitals AL $160 22 hospitals AR $154 14 hospitals AZ $204 18 hospitals CA $227 88 hospitals CO $161 40 hospitals CT $194 17 hospitals DE $233 4 hospitals FL $190 102 hospitals GA $194 39 hospitals HI $159 12 hospitals IA $171 50 hospitals ID $169 11 hospitals IL $194 60 hospitals IN $180 58 hospitals KS $169 38 hospitals KY $158 26 hospitals LA $155 46 hospitals MA $210 28 hospitals MD $271 3 hospitals ME $223 18 hospitals MI $165 67 hospitals MN $169 58 hospitals MO $195 31 hospitals MS $178 28 hospitals MT $207 10 hospitals NC $175 27 hospitals ND $165 8 hospitals NE $204 31 hospitals NH $186 4 hospitals NJ $203 47 hospitals NM $203 5 hospitals NV $191 12 hospitals NY $222 79 hospitals OH $174 62 hospitals OK $188 41 hospitals OR $219 23 hospitals PA $164 61 hospitals RI $211 4 hospitals SC $301 33 hospitals SD $164 6 hospitals TN $166 30 hospitals TX $187 118 hospitals UT $171 31 hospitals VA $210 16 hospitals VT $165 7 hospitals WA $237 32 hospitals WI $164 52 hospitals WV $150 11 hospitals WY $235 3 hospitals

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $187

Medicare Rate $108

Self-Pay Cash Request Quote

Insurer Median $185

1. Amount on Your Bill or Quote ($) Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $161 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $161

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $161).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$257 Above Fair BaseRate

Negotiate Toward $187 Fair BaseRate ($108 Medicare)

Your bill ($444) is $257 above the denoised Fair BaseRate ($187) and 4.1× the $108 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.