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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in TX

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Hospitals
44
Min
$55.50
Median
$173.25
Max
$1,946.00
Range multiplier
35.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield38172$66.99$168.18$8,427.00125.8×
UnitedHealthcare3381$12.11$149.00$631.8052.2×
Aetna2369$41.06$180.00$534.6013.0×
Humana1640$65.00$290.21$648.0010.0×
Cigna1831$32.84$153.98$1,663.0050.6×
Multiplan1724$88.20$296.10$607.756.9×
Medicaid1122$1.00$114.68$630.30630.3×
Anthem BCBS222$74.41$106.19$106.191.4×
First Health1217$158.00$572.00$607.503.8×
commercial | galaxy | all plans915$113.40$429.30$453.904.0×
healthsmart715$42.00$720.90$720.9017.2×
commercial | phcs | all plans511$85.05$285.53$321.983.8×
web tpa48$364.50$364.50$364.501.0×
assurant health48$534.60$534.60$534.601.0×
scott & white56$243.00$243.00$507.652.1×
superior health plan36$106.00$146.32$210.002.0×
commercial | nppn | all plans55$427.20$427.20$427.201.0×
Medicare15$76.13$137.35$138.661.8×
wellmed25$41.06$65.00$248.486.1×
commercial | usa health network | all plans55$453.90$453.90$453.901.0×
txp optum health (transplant)14$378.95$443.30$536.251.4×
commercial | healthsmart | ppo44$373.80$373.80$373.801.0×
city of san angelo44$112.59$112.59$112.591.0×
galaxy health network34$80.00$135.50$567.277.1×
patoka valley tier 124$106.19$106.19$106.191.0×
mhs care connect24$74.41$74.41$74.411.0×
patoka valley tier 224$106.19$106.19$106.191.0×
pphp13$68.33$116.47$150.022.2×
Medicare Advantage13$66.99$114.19$147.072.2×
txp emerging therapy solutions12$507.65$507.65$507.651.0×
txp interlink12$536.25$536.25$536.251.0×
commercial | healthsmart | all plans22$373.80$373.80$373.801.0×
commercial | health first | all plans12$252.00$257.00$262.001.0×
quiktrip (qt)12$536.25$536.25$536.251.0×
health partners open network22$127.02$127.02$127.021.0×
commercial | firstcare | all plans22$91.80$91.80$91.801.0×
superior health12$100.00$167.63$235.252.4×
galaxy health12$693.55$693.55$693.551.0×
phcs12$536.25$536.25$536.251.0×
muti-plan12$42.00$48.00$54.001.3×
friday health insurance company12$1,417.00$1,789.50$2,162.001.5×
oscar12$218.00$275.50$333.001.5×
Molina22$103.17$176.71$250.252.4×
equifax healthcare12$607.75$607.75$607.751.0×
imagine health12$500.50$500.50$500.501.0×
encore exclusive22$106.19$106.19$106.191.0×
employers health network12$500.50$500.50$500.501.0×
carelon12$264.55$307.45$350.351.3×
healthscope benefit solutions12$536.25$536.25$536.251.0×
methodist12$407.19$407.19$407.191.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Seton BastropBastropTX7$12.11$96.34$106.19
Ascension Seton Shoal CreekAustinTX7$12.11$96.34$106.19
Baylor County Hospital DistrictSeymourTX9$288.00$201.60$65.00$80.00$263.08
Crescent Medical Center LancasterLancasterTX5$1,663.00$1,081.00$218.00$728.50$2,162.00
Acuity Hospital Of South TexasSan AntonioTX1$64.76$64.76$64.76
Big Spring State HospitalBig SpringsTX11$810.00$405.00$112.59$583.20$720.90
River Crest HospitalSan AngeloTX11$810.00$405.00$112.59$583.20$720.90
San Angelo Community Medical CenterSan AngeloTX11$810.00$405.00$112.59$583.20$720.90
Shannon Medical CenterSan AngeloTX11$810.00$405.00$112.59$583.20$720.90
Driscoll Childrens HospitalCorpus ChristiTX2$968.00$193.60$165.82$582.91$1,000.00
Clay County Memorial HospitalHenriettaTX5$269.00$188.00$42.00$55.50$86.00
Childrens Medical Center Of PlanoPlanoTX31$715.00$536.25$95.84$500.50$693.55
Rice Medical CenterEagle LakeTX19$630.30$441.21$1.00$479.03$630.30
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$423.00$254.00$114.00$337.00$406.00
St Lukes Health Memorial San AugustSan AugustineTX7$477.00$166.95$81.53$273.69$429.30
St. Lukes Patients Medical CenterPasadenaTX6$534.00$186.90$109.25$255.50$453.90
Chi St Lukes Health Baylor Med CtrHoustonTX10$534.00$186.90$69.31$240.30$453.90
St Lukes Hospital At The VintageHoustonTX9$534.00$186.90$98.00$237.58$453.90
St. Lukes The Woodlands HospitalThe WoodlandsTX9$534.00$186.90$98.00$237.58$453.90
St. Lukes Sugar Land HospitalSugar LandTX9$534.00$186.90$98.00$237.58$453.90
St. Lukes Lakeside HospitalThe WoodlandsTX9$534.00$186.90$98.00$237.58$453.90
Brazosport Regional Health SystemLake JacksonTX2$524.00$183.40$161.99$218.06$262.00
Chi St Lukes Health Mem LivingstonLivingstonTX6$477.00$166.95$66.28$201.98$429.30
Chi St Lukes Health Memorial LufkinLufkinTX7$477.00$166.95$56.07$200.26$429.30
Baylor Orthopedic And Spine HospitalArlingtonTX1$917.00$1,946.00$8,427.00
Mccamey County Hospital DistrictMccameyTX14$212.00$212.00$127.00$186.50$212.00
Limestone Medical CenterGroesbeckTX8$507.15$304.29$66.99$173.25$405.72
Eastland Memorial HospitalEastlandTX3$240.00$120.00$149.00$171.50$216.00
Heritage Park Surgical HospitalShermanTX1$108.00$64.80$159.77$159.77$159.77
North Texas Medical CenterGainsvilleTX9$264.00$66.00$77.00$158.00$243.00
Crane County Hospital DistrictCraneTX2$254.00$178.00$155.00$157.50$229.00
Falls Community Hospital And ClinicMarlinTX6$303.00$242.40$40.40$151.50$348.66
Golden Plains Community HospitalBorgerTX6$357.00$249.90$32.84$150.80$248.48
Grimes St. Joseph Health CenterNavasotaTX3$153.00$53.55$130.05$145.04$173.00
St. Joseph Regional Health CenterBryanTX3$153.00$53.55$130.05$145.04$173.00
College Station Medical CenterCollege StationTX3$153.00$53.55$130.05$145.04$173.00
Muleshoe Area Medical CenterMuleshoeTX4$180.00$108.00$70.00$144.00$180.00
Madison St. Joseph Health CenterMadisonvilleTX6$153.00$53.55$91.80$137.07$173.00
Burleson St. Joseph Health CenterCaldwellTX5$153.00$53.55$91.80$133.56$153.00
Hansford County Hospital DistrictSpearmanTX5$145.00$109.00$102.00$131.00$152.00
Methodist Hospital For SurgeryAddisonTX32$422.00$253.20$76.13$130.81$142.30
Wilson N Jones Regional Medical CtrShermanTX8$237.00$189.60$74.50$116.00$168.46
Trinity Regional Hospital SachseSachseTX6$237.00$189.60$74.50$116.00$168.46
St Joseph Medical CenterHoustonTX0$721.11$721.11

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.