CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Grace Surgical Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$322

about 1.8× the $181 Medicare rate · typically $202–$362

modeled estimate · not a bill or quote

What this hospital charges insurers

$364

About the fair price

about $42 over the fair price · 2.0× Medicare

Medicare pays $181 Fair price $322 This hospital $364

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 $364

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 $322 (about 1.8× the $181 Medicare rate). Grace Surgical Hospital charges insurers about $364 — about the fair price. Located in Lubbock, TX.

What each insurance company pays

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

6 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	$212 - $728	117%
Blue Cross Blue Shieldmajor	$218 - $475	120%
Aetnamajor	$208 - $210	115%
Cignamajor	$243	134%
Humanamajor	$214	118%
Kaiser Permanentemajor	$202 - $303	111%
Amerigroup	$222	122%
Providence Health Plan	$513	283%
+ 3 smaller / regional plans	$323 - $657

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, 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 Grace Surgical Hospital 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 Grace Surgical Hospital

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

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