Psychiatric Evaluation Cost in Indiana

Psych diagnostic evaluation

CPT 90791

Indiana Average Cost (2026)

-2.1% vs national avg

Average across 1 Medicare locality in Indiana

Indiana (Office)
$169.76
Non-facility rate
Indiana (Hospital)
$136.32
Facility rate
Private Insurance Est.
$221 - $340
130-200% of Medicare
Self-Pay / Cash Est.
$136 - $255
80-150% of Medicare

National Average

Office Rate$173.35
Hospital Rate$137.28

State Ranking

Indiana rank#13 of 49
Cheapest stateArkansas ($166.76)
Most expensiveAlaska ($240.07)

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About Psychiatric Evaluation Costs in Indiana

The average Medicare reimbursement for psychiatric evaluation in Indiana is $169.76 for an office setting and $136.32 in a hospital. This is about 2% lower than the national average of $173.35.

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Indiana, that would be roughly $34 for an office visit or $27 in a hospital setting.

Private insurance plans in Indiana typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $221 and $340.

Without insurance, you may be able to negotiate a cash discount. Many providers in Indiana will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.

Ways to Save on Psychiatric Evaluation

Compare Insurance Plans

Uninsured? Comparing marketplace plans in Indiana could save you thousands on procedures like this.

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Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

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Save on Prescriptions

If this procedure leads to a prescription, check discount cards for up to 80% savings.

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Psychiatric Evaluation in Indiana: Frequently Asked Questions

How much does psychiatric evaluation cost in Indiana?

The average 2026 Medicare rate for psychiatric evaluation (CPT 90791) in Indiana is $169.76 in an office setting and $136.32 in a hospital. Private insurance typically pays $221 to $340, and self-pay cash prices often run $136 to $255.

Is psychiatric evaluation cheaper in Indiana than the national average?

Indiana is about 2% lower than the national average of $173.35. Across all states, Indiana ranks #13 of 49 for this procedure. The cheapest state is Arkansas ($166.76) and the most expensive is Alaska ($240.07).

What will I pay out of pocket for psychiatric evaluation in Indiana with Medicare?

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Indiana that is roughly $34 for an office visit or $27 in a hospital setting.

How can I save on psychiatric evaluation in Indiana?

Ask providers for a cash or self-pay price before scheduling; many in Indiana reduce fees 20% to 40% for self-pay patients. If you are uninsured, comparing marketplace plans, using telehealth for consultations, and checking prescription discount cards can cut costs further.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations based on industry averages.