Psychiatric Evaluation With Medical Services Cost in Kansas

Psych diag eval w/med srvcs

CPT 90792

Kansas Medicare physician rate (2026)

-4.1% vs national

Single statewide locality.

Kansas (Office)
$193.74
Non-facility physician fee
Kansas (Hospital)
$155.10
Facility physician fee
Private plan est.
$252–$387
~130–200% of Medicare
Cash / self-pay est.
$155–$291
~80–150% of Medicare

Your ZIP in Kansas

Enter a ZIP code for your part of Kansas, from Overland Park and the Kansas City suburbs to Wichita, Topeka, Lawrence, Salina, and the western High Plains.

What this number is

The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply. In Kansas the office and hospital physician lines for this CPT differ by $38.64.

National vs Kansas

National office$202.08
National hospital (physician)$159.32
Kansas vs national4% below the national office rate of $202.08

Where Kansas ranks for this CPT

Rank (lowest physician fee first)#4 of 51
Lowest stateArkansas ($191.22)
Highest stateAlaska ($272.73)

Psychiatric Evaluation With Medical Services and how Kansas is priced

A single locality covers all of Kansas, with geographic indices in the lower national tier, so the published Medicare rates apply evenly from the Kansas City suburbs to the far western High Plains. Notably, the Kansas side of the Kansas City metro prices under the statewide Kansas locality while the Missouri side has its own metro locality, meaning the two halves of one city carry different approved amounts. Beyond that quirk, Kansas pricing is straightforwardly uniform. Wichita, Topeka, and rural Kansas all share the same adjustments.

The Kansas City metro and Wichita hold most of the state's specialists, with the academic medical center on the Kansas side of the metro serving as the top referral point. Western Kansas is genuinely frontier in places, with long distances to any hospital that performs advanced procedures, and some High Plains residents cross into Colorado or Nebraska for care. Critical access hospitals carry much of the rural load.

This procedure: This is the psychiatric diagnostic evaluation performed by a medical provider, a psychiatrist or psychiatric nurse practitioner, that includes medical services: reviewing your health history and medications, considering physical causes of symptoms, and usually prescribing or adjusting psychiatric medication. It typically lasts 45 to 90 minutes as the intake for medication management. Follow-up prescribing visits are then shorter and billed under different codes.

What Is Psychiatric Evaluation With Medical Services?

This is the psychiatric diagnostic evaluation performed by a medical provider, a psychiatrist or psychiatric nurse practitioner, that includes medical services: reviewing your health history and medications, considering physical causes of symptoms, and usually prescribing or adjusting psychiatric medication. It typically lasts 45 to 90 minutes as the intake for medication management. Follow-up prescribing visits are then shorter and billed under different codes.

What Affects the Cost

  • Psychiatrists are among the least likely of all physicians to accept insurance, so cash-pay intake fees are common and vary widely by market.
  • This medical evaluation code pays more than the non-medical 90791, and clinician list prices reflect that.
  • Any labs ordered at intake, such as thyroid or metabolic panels before starting medication, are billed separately by the lab.
  • Follow-up medication visits recur monthly or quarterly indefinitely, so the ongoing cadence matters more than the intake price.
  • Private-pay concierge psychiatry practices bundle intakes and follow-ups into membership pricing outside insurance entirely.

Questions to Ask Before Booking

  • 1.Do you take my insurance, and what are your cash rates for the intake and for follow-ups?
  • 2.How often will I need follow-up visits, and how are those billed?
  • 3.Will you order baseline labs, and where should I have them drawn to stay in network?
  • 4.If therapy is recommended alongside medication, do you provide it or refer out?
  • 5.Can I request a network-gap exception if no in-network prescriber is available in a reasonable time?

Psychiatric Evaluation With Medical Services in Kansas: questions

How much does psychiatric evaluation with medical services cost in Kansas?

Kansas is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 90792 is $193.74 in an office and $155.10 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Does the rate change inside Kansas?

Not on the physician fee schedule. Kansas uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

What will a Medicare patient owe for the physician fee?

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $39 for the office physician line or $31 for the hospital physician line in Kansas. Medigap may cover that 20%. This is not the hospital facility fee.

Is this the full psychiatric evaluation with medical services bill in Kansas?

No. $193.74 is the Medicare physician allowed amount for CPT 90792. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Kansas ranks #4 of 51 states on this physician line (4% below the national office rate of $202.08).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.