Mental health services (assessment) cost in UT
What a mental health services (assessment) costs at UT hospitals — and the fair price to aim for.
Typical commercial prices here are +91% above the fair benchmark (1.91×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Primary Children's Hospital prices routine shoppable procedures near 2.7× Medicare (p50 0.89×) while skewing captive emergency, lab, and upper-quartile codes to 5.9× Medicare (p75 1.45×, +63% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.57× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 50% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (71.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Captive ER (1.2×) & laboratory (1.3×) services average 2.19× higher multiples than routine shoppable care (2.7×)
- Upper-quartile procedures (Q75 1.45×) jump +63% above the median procedure ratio (Q50 0.89×)
- Unnegotiated chargemaster list prices average 6.8× Medicare (30¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
In general, UT hospitals charge above the fair price — worth shopping around here. how we calculate the BaseRate →
Compared with the rest of the country, UT’s fair BaseRate ($102) is below the national fair price of $134.
Cheapest UT hospitals for a mental health services (assessment)
Audit a Bill or Quote at UT Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $233
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $233).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask UT Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $102 Fair BaseRate ($59 Medicare)
Your bill ($641) is $539 above the denoised Fair BaseRate ($102) and 10.9× the $59 Medicare rate.