CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$167

about 0.9× the $181 Medicare rate · typically $149–$211

modeled estimate · not a bill or quote

What this hospital charges insurers

$169

About the fair price

about $2 over the fair price · 0.9× Medicare

Medicare pays $181 Fair price $167 This hospital $169 Cash price $308 Hospital's list price $479

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $76 Priciest $169

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $167 (about 0.9× the $181 Medicare rate). UT of Texas Southwestern University Hospital - William P. Clements Jr. charges insurers about $169, or about $308 in cash — about the fair price. Located in Dallas, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$59 - $326	33%
Blue Cross Blue Shieldmajor	$59 - $287	33%
Aetnamajor	$59 - $511	33%
Cignamajor	$217 - $365	120%
Humanamajor	$151 - $167	83%
Ambetter (Centene)	$149	82%
Molina	$64 - $169	35%
+ 8 smaller / regional plans	$59 - $412

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 308), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm UT of Texas Southwestern University Hospital - William P. Clements Jr. is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UT of Texas Southwestern University Hospital - William P. Clements Jr.

Compare: Psychiatric evaluation (first visit) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.