CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Palacios Community Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$213

about 1.2× the $181 Medicare rate · typically $149–$375

modeled estimate · not a bill or quote

What this hospital charges insurers

$145

Below the fair price — a good deal

about $68 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $213 This hospital $145 Cash price $376 Hospital's list price $376

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 $145

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 $213 (about 1.2× the $181 Medicare rate). Palacios Community Medical Center charges insurers about $145, or about $376 in cash — below the fair price — a good deal. Located in Palacios, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$145 - $435	80%
Aetnamajor	$144 - $336	79%
Molina	$144 - $435	79%
+ 1 smaller / regional plan	$145 - $435

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 376), 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 Palacios Community Medical 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 Palacios Community Medical Center

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

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