Psychiatric Evaluation Cost in Massachusetts
Psych diagnostic evaluation
Massachusetts Average Cost (2026)
+5.2% vs national avgAverage across 2 Medicare localities in Massachusetts
National Average
State Ranking
Cost by Region in Massachusetts
| Region | Office Rate |
|---|---|
| metropolitan boston | $187.15 |
| rest of massachusetts | $177.62 |
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About Psychiatric Evaluation Costs in Massachusetts
The average Medicare reimbursement for psychiatric evaluation in Massachusetts is $182.39 for an office setting and $141.86 in a hospital. This is about 5% higher than the national average of $173.35.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Massachusetts, that would be roughly $36 for an office visit or $28 in a hospital setting.
Private insurance plans in Massachusetts typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $237 and $365.
Without insurance, you may be able to negotiate a cash discount. Many providers in Massachusetts 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 Massachusetts could save you thousands on procedures like this.
Compare plans on eHealth →Try Telehealth First
Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.
Book on Sesame Care →Save on Prescriptions
If this procedure leads to a prescription, check discount cards for up to 80% savings.
Check prices on GoodRx →Some links are affiliate links. We may earn a commission at no extra cost to you.
More ways to save →Other Procedures in Massachusetts
Psychiatric Evaluation Cost by State
Psychiatric Evaluation in Massachusetts: Frequently Asked Questions
How much does psychiatric evaluation cost in Massachusetts?
The average 2026 Medicare rate for psychiatric evaluation (CPT 90791) in Massachusetts is $182.39 in an office setting and $141.86 in a hospital. Private insurance typically pays $237 to $365, and self-pay cash prices often run $146 to $274.
Is psychiatric evaluation cheaper in Massachusetts than the national average?
Massachusetts is about 5% higher than the national average of $173.35. Across all states, Massachusetts ranks #43 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 Massachusetts with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Massachusetts that is roughly $36 for an office visit or $28 in a hospital setting.
How can I save on psychiatric evaluation in Massachusetts?
Ask providers for a cash or self-pay price before scheduling; many in Massachusetts 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.