CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Doctors Hosptal at Renaissance

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$171

about 0.9× the $181 Medicare rate · typically $142–$192

modeled estimate · not a bill or quote

What this hospital charges insurers

$166

About the fair price

about $5 under the fair price · 0.9× Medicare

Medicare pays $181 Fair price $171 This hospital $166 Cash price $442 Hospital's list price $442

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 $171 (about 0.9× the $181 Medicare rate). Doctors Hosptal at Renaissance charges insurers about $166, or about $442 in cash — about the fair price. Located in Edinburg, TX.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$55 - $93	30%
Blue Cross Blue Shieldmajor	$123 - $252	68%
Aetnamajor	$131 - $252	72%
Humanamajor	$158	87%
Molina	$166 - $197	92%
WellCare	$166	92%
+ 2 smaller / regional plans	$149 - $252

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 (about 442), 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 Doctors Hosptal at Renaissance 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 Doctors Hosptal at Renaissance

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

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