CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Shannon Medical Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $326
Cash Discount Price: $228
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Shannon Medical Center is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.80x the Medicare baseline. Located in 120 E Harris Ave., San Angelo, TX.

Cash / Self-Pay

$228

Average discount available for prompt cash payment at this facility.

Insurance Median

$326

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: $228 (126%)

Insurance Median: $326 (180%)

Cash: $228 (126% of Medicare)

Ins. Median: $326 (180% 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
City Of San Angelo	$63	35%
Care Improvement	$151	83%
Humana	$151 - $364	83%
Wellmed	$151	83%
Wellpoint	$204	112%
Web Tpa	$205	113%
Scott & White	$241	133%
Insurance Management Services	$246	136%
Insurance Services Of Lubbock	$246	136%
Aetna	$300	165%
Assurant Health	$300	165%
Kempton Group	$302	167%
Pdh/Texas Trust	$302	167%
Ambetter / Centene	$324	179%
Cigna	$328	181%
Blue Cross Blue Shield	$341	188%
First Health	$341	188%
UnitedHealthcare	$355	196%
90 Degree Benefits	$377	208%
Caprock	$377	208%
Healthsmart	$405	223%

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 $228.
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 Shannon Medical Center 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.