CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $280
Cash Discount Price: $317
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Baylor Scott & White Medical Center -Taylor is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $317. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.54x the Medicare baseline. Located in 305 Mallard, Taylor, TX.

Cash / Self-Pay

$317

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

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: $317 (175%)

Insurance Median: $280 (154%)

Cash: $317 (175% of Medicare)

Ins. Median: $280 (154% 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
Baylor Scott & White Health Plan	$105 - $226	58%
Triwest	$111	61%
Humana	$113 - $370	62%
American Health Plan	$116	64%
Blue Cross Blue Shield	$116 - $296	64%
Corvel	$116	64%
Healthspring	$116	64%
Prime Health Services	$116	64%
Procare Advantage	$116	64%
Superior Health Plan	$116	64%
Careworks Fka Rockport	$138	76%
Injury Management Organization	$138	76%
Sedgwick	$138	76%
UnitedHealthcare	$260 - $292	143%
Cigna	$271 - $318	149%
Aetna	$290	160%
Midcoast	$290	160%
Quiktrip	$290	160%
University Of Mary Hardin-Baylor	$306	169%
Independent Medical System	$317	175%
Curative	$343	189%
First Health	$370	204%
Healthsmart	$370 - $396	204%
Private Health Care System	$396	218%
Bluebell Creameries	$422	233%
Three Rivers	$422	233%

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 $317.
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 Baylor Scott & White Medical Center -Taylor 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.