CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Burleson St Joseph Health Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$246

about 1.4× the $181 Medicare rate · typically $157–$403

modeled estimate · not a bill or quote

What this hospital charges insurers

$173

Below the fair price — a good deal

about $73 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $246 This hospital $173 Cash price $53 Hospital's list price $301

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 $173

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 $246 (about 1.4× the $181 Medicare rate). Burleson St Joseph Health Center charges insurers about $173, or about $53 in cash — below the fair price — a good deal. Located in Caldwell, 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	$68 - $235	37%
Blue Cross Blue Shieldmajor	$66 - $301	36%
Aetnamajor	$75 - $193	41%
Cignamajor	$147 - $193	81%
Humanamajor	$184	101%
Ambetter (Centene)	$96	53%
Bright Health	$118	65%
+ 5 smaller / regional plans	$68 - $199

Excludes 3 rental-network / third-party entries (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 53), 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 Burleson St Joseph Health Center 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 Burleson St Joseph Health Center

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

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