CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Corpus Christi Medical Center,The

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $237
Cash Discount Price: $720
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Corpus Christi Medical Center,The is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $720. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.31x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.

Cash / Self-Pay

$720

Average discount available for prompt cash payment at this facility.

Insurance Median

$237

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: $720 (397%)

Insurance Median: $237 (131%)

Cash: $720 (397% of Medicare)

Ins. Median: $237 (131% 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
Aetna	$29 - $44	16%
Superior Health Plan	$43	24%
Humana	$54	30%
Healthcare Highways	$138	76%
United	$142 - $324	78%
Blue Cross Blue Shield	$163 - $278	90%
Texas Workforce Commission	$173	95%
Amerigroup	$180	99%
Averde Health	$237	131%
Curative Administrators	$288	159%
Texas Athletic Network	$300 - $600	165%
Healthsmart Preferred Care	$309 - $612	170%
Fidelis Securecare Of Tx	$324	179%
Physicians Cooperative Of Texas	$396	218%
Multiplan Phcs	$432	238%
National Healthcare Solutions	$432	238%
Olympus Managed Healthcare	$432	238%
Southwest Medical	$432	238%
Usc Health Services	$432	238%
First Health	$444	245%
Coastal Comp	$468	258%
Newton Ppo	$504	278%
Texas True Choice	$540	298%
Beech Street	$576	318%
Cigna	$576	318%
Usa Managed Care	$576	318%

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 $720.
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 Corpus Christi Medical Center,The 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.