CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Parkland Health & Hospital System

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $170
Cash Discount Price: $326
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Parkland Health & Hospital System is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $326. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.94x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$326

Average discount available for prompt cash payment at this facility.

Insurance Median

$170

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $326 (180%)

Insurance Median: $170 (94%)

Cash: $326 (180% of Medicare)

Ins. Median: $170 (94% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Wellpoint [1007]	$91 - $750	50%
Aetna	$95 - $788	52%
Cook Children Health Plan [1380]	$95 - $162	52%
Parkland Community Health Plan [1056]	$95 - $788	52%
Superior Health Plan [1402]	$95 - $263	52%
Molina [1382]	$100 - $825	55%
Point Comfort Underwriters [1801]	$100 - $170	55%
Delta Dental Insurance Company [1151]	$104 - $118	57%
Medicare (plans)	$104 - $129	57%
Triwest Healthcare Alliance [1409]	$104 - $118	57%
UnitedHealthcare	$104 - $681	57%
Wellcare Of Texas [1330]	$104 - $121	57%
Care Improvement Plus [1104]	$118 - $213	65%
Procare Advantage [2104]	$118 - $216	65%
Blue Cross Blue Shield	$135 - $735	74%
Molina Aca [1337]	$188 - $221	104%
Cigna	$282 - $613	156%
Superior Healthplan [1383]	$354 - $603	195%
Great West Healthcare [1037]	$360 - $613	199%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $326.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkland Health & Hospital System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.