Average Medicaid Psychiatric Evaluation Payments in Lancaster, PA: $42.88
Avg. Paid
$42.88
Range
$0.89 – $142.43
Total Claims
5,191
Providers
12
Typical Payment Range
Typical Medicaid Psychiatric Evaluation payments fall between $44.37 and $97.13 per claim (median: $73.35). The top 10% of payments exceed $130.02.
Based on per-provider averages across all Medicaid claims in this category.
Psychiatric evaluations assess mental health conditions through clinical interviews, observation, and sometimes psychological testing.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Psychiatric Evaluation in Lancaster, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristen M Harker
802 New Holland Ave Ste 200 |
$53.55 | 13 | 13 |
|
Patti S Fisher
790 New Holland Ave |
$142.43 | 33 | 24 |
|
Peter G Moyer
304 N Water St |
$6.65 | 57 | 27 |
|
Sarah Dunevant
1681 Crown Ave Ste 101 |
$95.47 | 84 | 65 |
|
Chi St. Joseph Children'S Health
1929 Lincoln Hwy E Ste 100 |
$1.34 | 105 | 73 |
|
Matthew Harrison Taylor
802 New Holland Ave |
$68.81 | 110 | 105 |
|
Angela C Onwuanibe
555 N Duke St |
$137.52 | 159 | 155 |
|
Elicia Stein
1808 Colonial Village Ln |
$0.93 | 272 | 209 |
|
Victor Daniel Franco
516 E King St |
$112.00 | 273 | 80 |
|
Teamcare Behavioral Health, Llc
1808 Colonial Village Ln |
$56.07 | 1,115 | 596 |
|
Terrence Paquette
32 E Mcgovern Ave |
$0.89 | 1,392 | 989 |
|
T.W. Ponessa & Associates Counseling Services, Inc.
410 N. Prince Street |
$53.64 | 1,578 | 793 |
What to Expect: Psychiatric Evaluation
A psychiatric evaluation typically takes 45-90 minutes. The psychiatrist will ask about your symptoms, medical history, family history, and lifestyle. They may use standardized questionnaires. The evaluation may lead to a diagnosis and treatment plan, which might include medication, therapy, or a combination. Follow-up visits are usually shorter (15-30 minutes).
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 90837 | Psychotherapy 60 min | $94.87 | 127,195,989 | 96,636 |
| 90834 | Psychotherapy 45 min | $81.07 | 108,817,687 | 69,176 |
| 90832 | Psychotherapy 30 min | $54.28 | 65,774,815 | 51,093 |
| 90853 | Group psychotherapy | $36.01 | 35,579,531 | 19,408 |
| 90791 | Psychiatric diagnostic eval | $120.05 | 16,146,970 | 46,312 |
| 90833 | Psychotherapy 30 min w/E&M | $42.78 | 14,361,341 | 14,288 |
| 90847 | Family psychotherapy w/patient | $103.69 | 10,531,444 | 12,330 |
| 90792 | Psychiatric eval w/med svcs | $129.53 | 8,419,882 | 21,097 |
| 90846 | Family psychotherapy w/o patient | $95.45 | 3,081,240 | 4,241 |
| 90836 | Psychotherapy 45 min w/E&M | $65.71 | 1,356,089 | 2,515 |
| 90839 | Crisis psychotherapy 1st 60 min | $100.68 | 437,608 | 1,362 |
| 90838 | Psychotherapy 60 min w/E&M | $67.17 | 335,848 | 784 |
| 90840 | Crisis psychotherapy addl 30 | $59.84 | 44,895 | 221 |
| 90845 | Psychoanalysis | $6.74 | 13,021 | 38 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Psychiatric Evaluation cost in Lancaster, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Psychiatric Evaluation in Lancaster, PA is $42.88 per claim, based on 5,191 claims from 12 providers. Typical payments fall between $44.37 and $97.13. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Psychiatric Evaluation in Lancaster, PA?
There are 12 Medicaid providers offering Psychiatric Evaluation related services in Lancaster, PA according to public payment data.
What is the price range for Psychiatric Evaluation in Lancaster, PA?
Medicaid reimbursement for Psychiatric Evaluation in Lancaster, PA ranges from $0.89 to $142.43 per claim, with an average of $42.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Psychiatric Evaluation in Other Cities
New York, NY
Avg $116.70
6,547,727 claims · 1385 providers
Brooklyn, NY
Avg $117.44
6,337,773 claims · 1262 providers
Baltimore, MD
Avg $100.67
6,065,385 claims · 929 providers
Philadelphia, PA
Avg $69.22
3,688,209 claims · 233 providers
Bronx, NY
Avg $115.10
2,959,916 claims · 707 providers
Indianapolis, IN
Avg $57.23
2,769,777 claims · 898 providers
Springfield, MA
Avg $77.04
2,573,099 claims · 296 providers
Louisville, KY
Avg $62.63
2,356,243 claims · 964 providers
Other Procedures in Lancaster, PA
Office Visit
Avg $39.75
607,480 claims
Dental Cleaning & Exam
Avg $31.67
164,673 claims
Emergency Room Visit
Avg $85.60
150,561 claims
Case Management Services
Avg $65.68
149,372 claims
EKG / ECG (Electrocardiogram)
Avg $7.00
141,532 claims
Physical Therapy
Avg $55.22
134,531 claims
Speech Therapy
Avg $30.39
125,554 claims
Blood Work & Lab Tests
Avg $7.12
116,126 claims