CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Texas Health Harris Methodist Fort Worth

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $194
Cash Discount Price: $185
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Texas Health Harris Methodist Fort Worth is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.07x the Medicare baseline. Located in 1301 Pennsylvania Avenue, Fort Worth, TX.

Cash / Self-Pay

$185

Average discount available for prompt cash payment at this facility.

Insurance Median

$194

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: $185 (102%)

Insurance Median: $194 (107%)

Cash: $185 (102% of Medicare)

Ins. Median: $194 (107% 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
Amerigroup	$40 - $187	22%
Blue Cross Blue Shield	$40 - $282	22%
Cook Childrens	$40	22%
UnitedHealthcare	$40 - $643	22%
Superior Wellcare	$42 - $196	23%
Molina	$43 - $187	24%
Aetna	$44 - $216	24%
City Of Fort Worth	$145	80%
Cigna	$170 - $290	94%
American Health	$178	98%
Healthspring	$182	100%
Humana	$185	102%
Quick Trip	$185 - $194	102%
Fort Worth Firefighters	$188 - $286	104%
Phcs	$214 - $229	118%
Healthsmart	$231 - $259	127%
Multiplan	$268	148%
Galaxy	$271	149%
Usa	$271	149%

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 $185.
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 Texas Health Harris Methodist Fort Worth 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.