Psychiatric Evaluation Cost in Nevada
Psych diagnostic evaluation
$319Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Nevada Medicare physician rate (2026)
-0.0% vs nationalSingle statewide locality.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Nevada
Enter a ZIP code for your area, whether the Las Vegas Valley and Henderson, Reno-Sparks, Carson City, or rural stretches like Elko and the central basin towns.
What psychiatric evaluation costs at hospitals near you
Everything above is a national average. The hospital you pick in Nevada moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Nevada the office and hospital physician lines for this CPT differ by $36.11.
National vs Nevada
Where Nevada ranks for this CPT
Psychiatric Evaluation and how Nevada is priced
Nevada's Medicare rates flow from a single statewide locality with adjustments a little above the national midpoint, shaped mostly by Las Vegas wage and cost levels. Clark County holds nearly three quarters of the state's population, so the statewide factors largely mirror the Las Vegas economy, with Reno and the rural counties along for the ride. A procedure in Elko is approved at the same amount as one on the Strip's doorstep. The gap between that uniform pricing and Nevada's very uneven provider supply is what patients notice most.
Nevada has long ranked among the states with the fewest physicians per resident, and the shortage is sharpest in specialties, so waits and travel are common even in Las Vegas. Reno serves the north and pulls some patients from rural Nevada and eastern California. Many rural Nevadans cross into Utah, Arizona, or California for procedures, and complex cases are often referred to Los Angeles, Phoenix, or Salt Lake City.
This procedure: A psychiatric diagnostic evaluation is the comprehensive first appointment with a mental health professional, typically a psychologist, therapist, or psychiatrist, covering your history, symptoms, and goals to establish a diagnosis and treatment plan. It usually runs 60 to 90 minutes, longer than ordinary therapy sessions, and happens in an office or by telehealth. This version of the evaluation does not include medical services like prescribing, which distinguishes it from its sister code 90792.
What Is Psychiatric Evaluation?
A psychiatric diagnostic evaluation is the comprehensive first appointment with a mental health professional, typically a psychologist, therapist, or psychiatrist, covering your history, symptoms, and goals to establish a diagnosis and treatment plan. It usually runs 60 to 90 minutes, longer than ordinary therapy sessions, and happens in an office or by telehealth. This version of the evaluation does not include medical services like prescribing, which distinguishes it from its sister code 90792.
What Affects the Cost
- –Many therapists and some psychiatrists do not accept insurance at all, making this a cash purchase at whatever the clinician charges.
- –Clinician credentials drive price: psychiatrists charge more than psychologists, who charge more than masters-level therapists, for the same code.
- –In-network negotiated rates are often far below the clinician's list price, so network status changes the cost more than almost anything else.
- –Telehealth platforms sometimes price intake evaluations differently from their ongoing session rates.
- –Out-of-network plans may reimburse a percentage of an allowed amount well below what the clinician actually charged, leaving you the gap.
Questions to Ask Before Booking
- 1.Are you in network with my plan, and if not, what is your rate for this evaluation?
- 2.Will ongoing sessions be billed at a different rate than this intake?
- 3.If I need medication, will you refer me for a separate 90792 evaluation with a prescriber, at what cost?
- 4.Does my plan offer a network-gap exception if no in-network therapist is available soon?
- 5.Do you provide superbills I can submit for out-of-network reimbursement?
Other featured procedures in Nevada
Psychiatric Evaluation in other states
Psychiatric Evaluation in Nevada: questions
Nevada is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 90791 is $173.28 in an office and $137.17 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Nevada 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.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $35 for the office physician line or $27 for the hospital physician line in Nevada. Medigap may cover that 20%. This is not the hospital facility fee.
No. $173.28 is only the physician's share. Adding Medicare's facility payment brings the total to about $319 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Nevada ranks #32 of 51 states on the physician line (within 2% of the national office rate of $173.35).