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CPT 99202 · negotiated-rate distribution across hospitals in TX

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Hospitals
45
Min
$38.04
Median
$124.00
Max
$912.00
Range multiplier
24.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield38183$42.63$107.77$8,427.00197.7×
UnitedHealthcare3494$7.89$132.60$517.9265.6×
Aetna2379$26.68$150.80$439.0416.5×
Humana1649$42.63$241.60$531.2012.5×
Multiplan1743$52.70$252.70$617.4011.7×
Cigna1831$21.34$113.00$1,470.0068.9×
commercial | phcs | all plans524$52.70$203.85$583.1011.1×
commercial | galaxy | all plans924$217.80$326.25$369.001.7×
Medicaid1122$1.00$91.16$547.80547.8×
Anthem BCBS222$51.31$73.29$73.291.4×
First Health1217$112.00$370.40$498.004.4×
healthsmart715$29.00$590.96$590.9620.4×
superior health plan39$59.00$92.37$140.002.4×
web tpa48$298.80$298.80$298.801.0×
assurant health48$438.24$438.24$438.241.0×
scott & white56$199.20$199.20$328.731.7×
commercial | firstcare | all plans26$37.20$63.60$411.6011.1×
commercial | nppn | all plans55$340.80$340.80$340.801.0×
Medicare15$43.87$137.35$138.663.2×
wellmed25$26.68$53.36$248.489.3×
commercial | usa health network | all plans55$362.10$362.10$362.101.0×
txp optum health (transplant)14$245.39$287.06$347.251.4×
commercial | healthsmart | ppo44$298.20$298.20$298.201.0×
city of san angelo44$92.30$92.30$92.301.0×
galaxy health network34$80.00$103.50$493.026.2×
patoka valley tier 124$73.29$73.29$73.291.0×
mhs care connect24$51.31$51.31$51.311.0×
patoka valley tier 224$73.29$73.29$73.291.0×
pphp13$43.48$75.47$113.992.6×
Medicare Advantage13$42.63$73.99$111.752.6×
txp interlink12$347.25$347.25$347.251.0×
txp emerging therapy solutions12$328.73$328.73$328.731.0×
commercial | healthsmart | all plans22$281.40$289.80$298.201.1×
superior health12$100.00$167.63$235.252.4×
quiktrip (qt)12$347.25$347.25$347.251.0×
health partners open network22$82.82$82.82$82.821.0×
usa managed care12$430.59$430.59$430.591.0×
galaxy health12$449.11$449.11$449.111.0×
phcs12$347.25$347.25$347.251.0×
muti-plan12$29.00$34.50$40.001.4×
friday health insurance company12$1,417.00$1,664.00$1,911.001.3×
oscar12$218.00$256.00$294.001.3×
Molina22$59.45$110.75$162.052.7×
equifax healthcare12$393.55$393.55$393.551.0×
imagine health12$324.10$324.10$324.101.0×
encore exclusive22$73.29$73.29$73.291.0×
employers health network12$324.10$324.10$324.101.0×
carelon12$171.31$199.09$226.871.3×
healthscope benefit solutions12$347.25$347.25$347.251.0×
methodist12$263.68$263.68$263.681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hansford County Hospital DistrictSpearmanTX5$105.00$79.00$74.00$95.00$110.00
Madison St. Joseph Health CenterMadisonvilleTX6$686.00$240.10$37.20$92.86$617.40
Burleson St. Joseph Health CenterCaldwellTX6$686.00$240.10$37.20$92.86$617.40
Baylor Orthopedic And Spine HospitalArlingtonTX1$432.00$912.00$8,427.00
Crane County Hospital DistrictCraneTX2$148.00$104.00$90.00$91.50$133.00
Falls Community Hospital And ClinicMarlinTX6$273.00$218.40$23.40$87.75$231.93
Baylor County Hospital DistrictSeymourTX9$209.00$146.30$65.00$80.00$263.08
Muleshoe Area Medical CenterMuleshoeTX4$130.00$78.00$39.00$80.00$130.00
Crescent Medical Center LancasterLancasterTX5$1,470.00$956.00$218.00$685.50$1,911.00
Wilson N Jones Regional Medical CtrShermanTX8$167.00$133.60$42.93$66.30$112.29
Trinity Regional Hospital SachseSachseTX6$167.00$133.60$42.93$66.30$112.29
Ascension Seton Shoal CreekAustinTX7$7.89$64.84$73.29
Ascension Seton BastropBastropTX7$7.89$64.84$73.29
Driscoll Childrens HospitalCorpus ChristiTX2$775.50$155.10$165.82$582.91$1,000.00
River Crest HospitalSan AngeloTX11$664.00$332.00$92.30$478.08$590.96
San Angelo Community Medical CenterSan AngeloTX11$664.00$332.00$92.30$478.08$590.96
Shannon Medical CenterSan AngeloTX11$664.00$332.00$92.30$478.08$590.96
Big Spring State HospitalBig SpringsTX11$664.00$332.00$92.30$478.08$590.96
Rice Medical CenterEagle LakeTX19$547.80$383.46$1.00$416.33$547.80
Clay County Memorial HospitalHenriettaTX5$202.00$141.00$29.00$40.00$65.00
Acuity Hospital Of South TexasSan AntonioTX1$38.04$38.04$38.04
Childrens Medical Center Of PlanoPlanoTX31$463.00$347.25$61.19$324.10$449.11
St. Lukes Patients Medical CenterPasadenaTX6$402.00$140.70$72.67$251.65$341.70
St Lukes Health Memorial San AugustSan AugustineTX7$410.00$143.50$47.00$234.54$369.00
Chi St Lukes Health Mem LivingstonLivingstonTX6$410.00$143.50$47.00$207.63$369.00
Chi St Lukes Health Memorial LufkinLufkinTX7$410.00$143.50$47.00$203.70$369.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$271.00$163.00$78.00$197.00$260.00
Chi St Lukes Health Baylor Med CtrHoustonTX10$426.00$149.10$45.67$191.70$362.10
St. Lukes Lakeside HospitalThe WoodlandsTX9$426.00$149.10$71.22$176.94$362.10
St. Lukes The Woodlands HospitalThe WoodlandsTX9$426.00$149.10$71.22$176.94$362.10
St Lukes Hospital At The VintageHoustonTX9$426.00$149.10$71.22$176.94$362.10
St. Lukes Sugar Land HospitalSugar LandTX9$426.00$149.10$71.22$176.94$362.10
Brazosport Regional Health SystemLake JacksonTX2$402.00$140.70$106.75$137.31$201.00
Methodist Hospital For SurgeryAddisonTX32$390.00$234.00$43.87$130.81$141.28
Mccamey County Hospital DistrictMccameyTX14$141.00$141.00$85.00$124.00$141.00
North Texas Medical CenterGainsvilleTX9$186.00$47.00$52.00$112.00$171.00
Limestone Medical CenterGroesbeckTX8$385.35$231.21$42.63$111.75$308.28
Golden Plains Community HospitalBorgerTX6$232.00$162.40$21.34$109.81$248.48
Eastland Memorial HospitalEastlandTX3$150.00$75.00$93.00$107.50$135.00
St. Joseph Regional Health CenterBryanTX3$686.00$240.10$52.70$106.00$583.10
College Station Medical CenterCollege StationTX3$686.00$240.10$52.70$106.00$583.10
Grimes St. Joseph Health CenterNavasotaTX3$686.00$240.10$52.70$106.00$583.10
Heritage Park Surgical HospitalShermanTX1$102.69$102.69$102.69
St Joseph Medical CenterHoustonTX0$693.83$693.83
Yoakum County HospitalDenver CityTX0$95.58$95.58

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.