CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: El Paso Children's Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$139

about 0.8× the $181 Medicare rate · typically $136–$227

modeled estimate · not a bill or quote

What this hospital charges insurers

$142

About the fair price

about $3 over the fair price · 0.8× Medicare

Medicare pays $181 Fair price $139 This hospital $142 Cash price $90 Hospital's list price $449

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 $142

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 $139 (about 0.8× the $181 Medicare rate). El Paso Children's Hospital charges insurers about $142, or about $90 in cash — about the fair price. Located in El Paso, 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✓ Cigna HumanaKaiser 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	$322	178%
Blue Cross Blue Shieldmajor	$104 - $337	57%
Aetnamajor	$323 - $359	178%
Cignamajor	$352	194%
Health Net	$142	78%
Molina	$271	149%
+ 3 smaller / regional plans	$81 - $238

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 90), 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 El Paso Children's Hospital 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 El Paso Children's Hospital

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

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