CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Baylor Scott and White Medical Center McKinney

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$166

about 0.9× the $181 Medicare rate · typically $154–$239

modeled estimate · not a bill or quote

What this hospital charges insurers

$153

About the fair price

about $13 under the fair price · 0.8× Medicare

Medicare pays $181 Fair price $166 This hospital $153 Cash price $356 Hospital's list price $593

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 $153

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 $166 (about 0.9× the $181 Medicare rate). Baylor Scott and White Medical Center McKinney charges insurers about $153, or about $356 in cash — about the fair price. Located in Mc Kinney, 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	$168 - $410	93%
Blue Cross Blue Shieldmajor	$153 - $439	84%
Aetnamajor	$146 - $326	81%
Cignamajor	$292 - $344	161%
Humanamajor	$146 - $415	81%
Ambetter (Centene)	$302	167%
Baylor Scott & White	$139 - $344	77%
Cigna HealthSpring	$153	84%
Health Net	$326	180%
+ 6 smaller / regional plans	$153 - $445

Government programs also on file: Medicaid, Military & VA.

Excludes 5 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 356), 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 Baylor Scott and White Medical Center McKinney 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 Baylor Scott and White Medical Center McKinney

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

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