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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in TX

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Hospitals
45
Min
$38.04
Median
$124
Max
$912
Range multiplier
24.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield38183$42.63$107.77$8,427197.7×
UnitedHealthcare3494$7.89$132.6$517.9265.6×
Aetna2379$26.68$150.8$439.0416.5×
Humana1649$42.63$241.6$531.212.5×
Multiplan1743$52.7$252.7$617.411.7×
Cigna1831$21.34$113$1,47068.9×
commercial | phcs | all plans524$52.7$203.85$583.111.1×
commercial | galaxy | all plans924$217.8$326.25$3691.7×
Medicaid1122$1$91.16$547.8547.8×
Anthem BCBS222$51.31$73.29$73.291.4×
First Health1217$112$370.4$4984.4×
healthsmart715$29$590.96$590.9620.4×
superior health plan39$59$92.37$1402.4×
web tpa48$298.8$298.8$298.81.0×
assurant health48$438.24$438.24$438.241.0×
scott & white56$199.2$199.2$328.731.7×
commercial | firstcare | all plans26$37.2$63.6$411.611.1×
commercial | nppn | all plans55$340.8$340.8$340.81.0×
Medicare15$43.87$137.35$138.663.2×
wellmed25$26.68$53.36$248.489.3×
commercial | usa health network | all plans55$362.1$362.1$362.11.0×
txp optum health (transplant)14$245.39$287.06$347.251.4×
commercial | healthsmart | ppo44$298.2$298.2$298.21.0×
city of san angelo44$92.3$92.3$92.31.0×
galaxy health network34$80$103.5$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$281.4$289.8$298.21.1×
superior health12$100$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$34.5$401.4×
friday health insurance company12$1,417$1,664$1,9111.3×
oscar12$218$256$2941.3×
Molina22$59.45$110.75$162.052.7×
equifax healthcare12$393.55$393.55$393.551.0×
imagine health12$324.1$324.1$324.11.0×
encore exclusive22$73.29$73.29$73.291.0×
employers health network12$324.1$324.1$324.11.0×
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$79$74$95$110
MADISON ST. JOSEPH HEALTH CENTERMADISONVILLETX6$686$240.1$37.2$92.86$617.4
BURLESON ST. JOSEPH HEALTH CENTERCALDWELLTX6$686$240.1$37.2$92.86$617.4
BAYLOR ORTHOPEDIC AND SPINE HOSPITALARLINGTONTX1$432$912$8,427
CRANE COUNTY HOSPITAL DISTRICTCRANETX2$148$104$90$91.5$133
FALLS COMMUNITY HOSPITAL AND CLINICMARLINTX6$273$218.4$23.4$87.75$231.93
BAYLOR COUNTY HOSPITAL DISTRICTSEYMOURTX9$209$146.3$65$80$263.08
MULESHOE AREA MEDICAL CENTERMULESHOETX4$130$78$39$80$130
CRESCENT MEDICAL CENTER LANCASTERLANCASTERTX5$1,470$956$218$685.5$1,911
WILSON N JONES REGIONAL MEDICAL CTRSHERMANTX8$167$133.6$42.93$66.3$112.29
TRINITY REGIONAL HOSPITAL SACHSESACHSETX6$167$133.6$42.93$66.3$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$775.5$155.1$165.82$582.91$1,000
RIVER CREST HOSPITALSAN ANGELOTX11$664$332$92.3$478.08$590.96
SAN ANGELO COMMUNITY MEDICAL CENTERSAN ANGELOTX11$664$332$92.3$478.08$590.96
SHANNON MEDICAL CENTERSAN ANGELOTX11$664$332$92.3$478.08$590.96
BIG SPRING STATE HOSPITALBIG SPRINGSTX11$664$332$92.3$478.08$590.96
RICE MEDICAL CENTEREAGLE LAKETX19$547.8$383.46$1$416.33$547.8
CLAY COUNTY MEMORIAL HOSPITALHENRIETTATX5$202$141$29$40$65
SAN ANTONIO-AMG SPECIALTY HOSPITALSAN ANTONIOTX1$38.04$38.04$38.04
CHILDRENS MEDICAL CENTER OF PLANOPLANOTX31$463$347.25$61.19$324.1$449.11
ST. LUKES PATIENTS MEDICAL CENTERPASADENATX6$402$140.7$72.67$251.65$341.7
ST LUKES HEALTH MEMORIAL SAN AUGUSTSAN AUGUSTINETX7$410$143.5$47$234.54$369
CHI ST LUKES HEALTH MEM LIVINGSTONLIVINGSTONTX6$410$143.5$47$207.63$369
CHI ST LUKES HEALTH MEMORIAL LUFKINLUFKINTX7$410$143.5$47$203.7$369
DIMMIT REGIONAL HOSPITAL DISTRICTCARRIZO SPRINGSTX3$271$163$78$197$260
CHI ST LUKES HEALTH BAYLOR MED CTRHOUSTONTX10$426$149.1$45.67$191.7$362.1
ST. LUKES LAKESIDE HOSPITALTHE WOODLANDSTX9$426$149.1$71.22$176.94$362.1
ST. LUKES THE WOODLANDS HOSPITALTHE WOODLANDSTX9$426$149.1$71.22$176.94$362.1
ST LUKES HOSPITAL AT THE VINTAGEHOUSTONTX9$426$149.1$71.22$176.94$362.1
ST. LUKES SUGAR LAND HOSPITALSUGAR LANDTX9$426$149.1$71.22$176.94$362.1
BRAZOSPORT REGIONAL HEALTH SYSTEMLAKE JACKSONTX2$402$140.7$106.75$137.31$201
METHODIST HOSPITAL FOR SURGERYADDISONTX32$390$234$43.87$130.81$141.28
MCCAMEY COUNTY HOSPITAL DISTRICTMCCAMEYTX14$141$141$85$124$141
NORTH TEXAS MEDICAL CENTERGAINSVILLETX9$186$47$52$112$171
LIMESTONE MEDICAL CENTERGROESBECKTX8$385.35$231.21$42.63$111.75$308.28
GOLDEN PLAINS COMMUNITY HOSPITALBORGERTX6$232$162.4$21.34$109.81$248.48
EASTLAND MEMORIAL HOSPITALEASTLANDTX3$150$75$93$107.5$135
ST. JOSEPH REGIONAL HEALTH CENTERBRYANTX3$686$240.1$52.7$106$583.1
COLLEGE STATION MEDICAL CENTERCOLLEGE STATIONTX3$686$240.1$52.7$106$583.1
GRIMES ST. JOSEPH HEALTH CENTERNAVASOTATX3$686$240.1$52.7$106$583.1
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.