▸ Compare · PriceTransparency
Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in TX
Hospitals
44
Min
$55.5
Median
$173.25
Max
$1,946
Range multiplier
35.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 38 | 172 | $66.99 | $168.18 | $8,427 | 125.8× |
| UnitedHealthcare | 33 | 81 | $12.11 | $149 | $631.8 | 52.2× |
| Aetna | 23 | 69 | $41.06 | $180 | $534.6 | 13.0× |
| Humana | 16 | 40 | $65 | $290.21 | $648 | 10.0× |
| Cigna | 18 | 31 | $32.84 | $153.98 | $1,663 | 50.6× |
| Multiplan | 17 | 24 | $88.2 | $296.1 | $607.75 | 6.9× |
| Medicaid | 11 | 22 | $1 | $114.68 | $630.3 | 630.3× |
| Anthem BCBS | 2 | 22 | $74.41 | $106.19 | $106.19 | 1.4× |
| First Health | 12 | 17 | $158 | $572 | $607.5 | 3.8× |
| commercial | galaxy | all plans | 9 | 15 | $113.4 | $429.3 | $453.9 | 4.0× |
| healthsmart | 7 | 15 | $42 | $720.9 | $720.9 | 17.2× |
| commercial | phcs | all plans | 5 | 11 | $85.05 | $285.53 | $321.98 | 3.8× |
| web tpa | 4 | 8 | $364.5 | $364.5 | $364.5 | 1.0× |
| assurant health | 4 | 8 | $534.6 | $534.6 | $534.6 | 1.0× |
| scott & white | 5 | 6 | $243 | $243 | $507.65 | 2.1× |
| superior health plan | 3 | 6 | $106 | $146.32 | $210 | 2.0× |
| commercial | nppn | all plans | 5 | 5 | $427.2 | $427.2 | $427.2 | 1.0× |
| Medicare | 1 | 5 | $76.13 | $137.35 | $138.66 | 1.8× |
| wellmed | 2 | 5 | $41.06 | $65 | $248.48 | 6.1× |
| commercial | usa health network | all plans | 5 | 5 | $453.9 | $453.9 | $453.9 | 1.0× |
| txp optum health (transplant) | 1 | 4 | $378.95 | $443.3 | $536.25 | 1.4× |
| commercial | healthsmart | ppo | 4 | 4 | $373.8 | $373.8 | $373.8 | 1.0× |
| city of san angelo | 4 | 4 | $112.59 | $112.59 | $112.59 | 1.0× |
| galaxy health network | 3 | 4 | $80 | $135.5 | $567.27 | 7.1× |
| patoka valley tier 1 | 2 | 4 | $106.19 | $106.19 | $106.19 | 1.0× |
| mhs care connect | 2 | 4 | $74.41 | $74.41 | $74.41 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $106.19 | $106.19 | $106.19 | 1.0× |
| pphp | 1 | 3 | $68.33 | $116.47 | $150.02 | 2.2× |
| Medicare Advantage | 1 | 3 | $66.99 | $114.19 | $147.07 | 2.2× |
| txp emerging therapy solutions | 1 | 2 | $507.65 | $507.65 | $507.65 | 1.0× |
| txp interlink | 1 | 2 | $536.25 | $536.25 | $536.25 | 1.0× |
| commercial | healthsmart | all plans | 2 | 2 | $373.8 | $373.8 | $373.8 | 1.0× |
| commercial | health first | all plans | 1 | 2 | $252 | $257 | $262 | 1.0× |
| quiktrip (qt) | 1 | 2 | $536.25 | $536.25 | $536.25 | 1.0× |
| health partners open network | 2 | 2 | $127.02 | $127.02 | $127.02 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $91.8 | $91.8 | $91.8 | 1.0× |
| superior health | 1 | 2 | $100 | $167.63 | $235.25 | 2.4× |
| galaxy health | 1 | 2 | $693.55 | $693.55 | $693.55 | 1.0× |
| phcs | 1 | 2 | $536.25 | $536.25 | $536.25 | 1.0× |
| muti-plan | 1 | 2 | $42 | $48 | $54 | 1.3× |
| friday health insurance company | 1 | 2 | $1,417 | $1,789.5 | $2,162 | 1.5× |
| oscar | 1 | 2 | $218 | $275.5 | $333 | 1.5× |
| Molina | 2 | 2 | $103.17 | $176.71 | $250.25 | 2.4× |
| equifax healthcare | 1 | 2 | $607.75 | $607.75 | $607.75 | 1.0× |
| imagine health | 1 | 2 | $500.5 | $500.5 | $500.5 | 1.0× |
| encore exclusive | 2 | 2 | $106.19 | $106.19 | $106.19 | 1.0× |
| employers health network | 1 | 2 | $500.5 | $500.5 | $500.5 | 1.0× |
| carelon | 1 | 2 | $264.55 | $307.45 | $350.35 | 1.3× |
| healthscope benefit solutions | 1 | 2 | $536.25 | $536.25 | $536.25 | 1.0× |
| methodist | 1 | 2 | $407.19 | $407.19 | $407.19 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ASCENSION SETON BASTROP | BASTROP | TX | 7 | — | — | $12.11 | $96.34 | $106.19 |
| ASCENSION SETON SHOAL CREEK | AUSTIN | TX | 7 | — | — | $12.11 | $96.34 | $106.19 |
| BAYLOR COUNTY HOSPITAL DISTRICT | SEYMOUR | TX | 9 | $288 | $201.6 | $65 | $80 | $263.08 |
| CRESCENT MEDICAL CENTER LANCASTER | LANCASTER | TX | 5 | $1,663 | $1,081 | $218 | $728.5 | $2,162 |
| SAN ANTONIO-AMG SPECIALTY HOSPITAL | SAN ANTONIO | TX | 1 | — | — | $64.76 | $64.76 | $64.76 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 11 | $810 | $405 | $112.59 | $583.2 | $720.9 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 11 | $810 | $405 | $112.59 | $583.2 | $720.9 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 11 | $810 | $405 | $112.59 | $583.2 | $720.9 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 11 | $810 | $405 | $112.59 | $583.2 | $720.9 |
| DRISCOLL CHILDRENS HOSPITAL | CORPUS CHRISTI | TX | 2 | $968 | $193.6 | $165.82 | $582.91 | $1,000 |
| CLAY COUNTY MEMORIAL HOSPITAL | HENRIETTA | TX | 5 | $269 | $188 | $42 | $55.5 | $86 |
| CHILDRENS MEDICAL CENTER OF PLANO | PLANO | TX | 31 | $715 | $536.25 | $95.84 | $500.5 | $693.55 |
| RICE MEDICAL CENTER | EAGLE LAKE | TX | 19 | $630.3 | $441.21 | $1 | $479.03 | $630.3 |
| DIMMIT REGIONAL HOSPITAL DISTRICT | CARRIZO SPRINGS | TX | 3 | $423 | $254 | $114 | $337 | $406 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 7 | $477 | $166.95 | $81.53 | $273.69 | $429.3 |
| ST. LUKES PATIENTS MEDICAL CENTER | PASADENA | TX | 6 | $534 | $186.9 | $109.25 | $255.5 | $453.9 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 10 | $534 | $186.9 | $69.31 | $240.3 | $453.9 |
| ST LUKES HOSPITAL AT THE VINTAGE | HOUSTON | TX | 9 | $534 | $186.9 | $98 | $237.58 | $453.9 |
| ST. LUKES THE WOODLANDS HOSPITAL | THE WOODLANDS | TX | 9 | $534 | $186.9 | $98 | $237.58 | $453.9 |
| ST. LUKES SUGAR LAND HOSPITAL | SUGAR LAND | TX | 9 | $534 | $186.9 | $98 | $237.58 | $453.9 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 9 | $534 | $186.9 | $98 | $237.58 | $453.9 |
| BRAZOSPORT REGIONAL HEALTH SYSTEM | LAKE JACKSON | TX | 2 | $524 | $183.4 | $161.99 | $218.06 | $262 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 6 | $477 | $166.95 | $66.28 | $201.98 | $429.3 |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | LUFKIN | TX | 7 | $477 | $166.95 | $56.07 | $200.26 | $429.3 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 1 | — | — | $917 | $1,946 | $8,427 |
| MCCAMEY COUNTY HOSPITAL DISTRICT | MCCAMEY | TX | 14 | $212 | $212 | $127 | $186.5 | $212 |
| LIMESTONE MEDICAL CENTER | GROESBECK | TX | 8 | $507.15 | $304.29 | $66.99 | $173.25 | $405.72 |
| EASTLAND MEMORIAL HOSPITAL | EASTLAND | TX | 3 | $240 | $120 | $149 | $171.5 | $216 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 1 | $108 | $64.8 | $159.77 | $159.77 | $159.77 |
| NORTH TEXAS MEDICAL CENTER | GAINSVILLE | TX | 9 | $264 | $66 | $77 | $158 | $243 |
| CRANE COUNTY HOSPITAL DISTRICT | CRANE | TX | 2 | $254 | $178 | $155 | $157.5 | $229 |
| FALLS COMMUNITY HOSPITAL AND CLINIC | MARLIN | TX | 6 | $303 | $242.4 | $40.4 | $151.5 | $348.66 |
| GOLDEN PLAINS COMMUNITY HOSPITAL | BORGER | TX | 6 | $357 | $249.9 | $32.84 | $150.8 | $248.48 |
| GRIMES ST. JOSEPH HEALTH CENTER | NAVASOTA | TX | 3 | $153 | $53.55 | $130.05 | $145.04 | $173 |
| ST. JOSEPH REGIONAL HEALTH CENTER | BRYAN | TX | 3 | $153 | $53.55 | $130.05 | $145.04 | $173 |
| COLLEGE STATION MEDICAL CENTER | COLLEGE STATION | TX | 3 | $153 | $53.55 | $130.05 | $145.04 | $173 |
| MULESHOE AREA MEDICAL CENTER | MULESHOE | TX | 4 | $180 | $108 | $70 | $144 | $180 |
| MADISON ST. JOSEPH HEALTH CENTER | MADISONVILLE | TX | 6 | $153 | $53.55 | $91.8 | $137.07 | $173 |
| BURLESON ST. JOSEPH HEALTH CENTER | CALDWELL | TX | 5 | $153 | $53.55 | $91.8 | $133.56 | $153 |
| HANSFORD COUNTY HOSPITAL DISTRICT | SPEARMAN | TX | 5 | $145 | $109 | $102 | $131 | $152 |
| METHODIST HOSPITAL FOR SURGERY | ADDISON | TX | 32 | $422 | $253.2 | $76.13 | $130.81 | $142.3 |
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 8 | $237 | $189.6 | $74.5 | $116 | $168.46 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 6 | $237 | $189.6 | $74.5 | $116 | $168.46 |
| ST JOSEPH MEDICAL CENTER | HOUSTON | TX | 0 | $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.