CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Christus Mother Frances Hospital Sulphur Springs

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$193

about 1.1× the $181 Medicare rate · typically $154–$250

modeled estimate · not a bill or quote

What this hospital charges insurers

$166

Below the fair price — a good deal

about $27 under the fair price · 0.9× Medicare

Medicare pays $181 Fair price $193 This hospital $166

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 $166

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 $193 (about 1.1× the $181 Medicare rate). Christus Mother Frances Hospital Sulphur Springs charges insurers about $166 — below the fair price — a good deal. Located in Sulphur Springs, 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	$165	91%
Blue Cross Blue Shieldmajor	$165	91%
Aetnamajor	$167	92%
Cignamajor	$165	91%
Humanamajor	$165	91%
Amerigroup	$179	99%
WellCare	$165	91%
+ 8 smaller / regional plans	$165 - $232

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (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, 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 Christus Mother Frances Hospital Sulphur Springs 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 Christus Mother Frances Hospital Sulphur Springs

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

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