▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in TX
Hospitals
44
Min
$80.00
Median
$259.50
Max
$3,840.00
Range multiplier
48.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 38 | 178 | $47.00 | $274.53 | $8,427.00 | 179.3× |
| UnitedHealthcare | 33 | 84 | $20.23 | $198.32 | $687.96 | 34.0× |
| Aetna | 23 | 70 | $68.89 | $257.34 | $641.20 | 9.3× |
| Humana | 16 | 40 | $88.31 | $380.36 | $705.60 | 8.0× |
| Cigna | 18 | 34 | $55.11 | $251.15 | $1,800.00 | 32.7× |
| Medicaid | 11 | 23 | $1.00 | $170.52 | $704.00 | 704.0× |
| Anthem BCBS | 2 | 22 | $114.67 | $162.17 | $162.17 | 1.4× |
| Multiplan | 17 | 21 | $198.05 | $441.70 | $778.60 | 3.9× |
| First Health | 12 | 17 | $242.00 | $661.50 | $732.80 | 3.0× |
| healthsmart | 7 | 15 | $64.00 | $784.98 | $784.98 | 12.3× |
| commercial | galaxy | all plans | 9 | 12 | $520.20 | $521.55 | $567.90 | 1.1× |
| commercial | phcs | all plans | 5 | 8 | $198.05 | $392.18 | $425.93 | 2.2× |
| assurant health | 4 | 8 | $582.12 | $582.12 | $582.12 | 1.0× |
| web tpa | 4 | 8 | $396.90 | $396.90 | $396.90 | 1.0× |
| superior health plan | 3 | 6 | $145.00 | $202.87 | $313.00 | 2.2× |
| scott & white | 5 | 6 | $264.60 | $264.60 | $650.36 | 2.5× |
| commercial | nppn | all plans | 5 | 5 | $489.60 | $489.60 | $489.60 | 1.0× |
| Medicare | 1 | 5 | $124.61 | $137.35 | $138.66 | 1.1× |
| wellmed | 2 | 5 | $65.00 | $70.38 | $248.48 | 3.8× |
| commercial | usa health network | all plans | 5 | 5 | $520.20 | $520.20 | $520.20 | 1.0× |
| galaxy health network | 3 | 5 | $80.00 | $284.00 | $633.60 | 7.9× |
| pphp | 1 | 4 | $90.07 | $139.62 | $173.31 | 1.9× |
| commercial | healthsmart | ppo | 4 | 4 | $428.40 | $428.40 | $428.40 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $162.17 | $162.17 | $162.17 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $162.17 | $162.17 | $162.17 | 1.0× |
| city of san angelo | 4 | 4 | $122.60 | $122.60 | $122.60 | 1.0× |
| mhs care connect | 2 | 4 | $114.67 | $114.67 | $114.67 | 1.0× |
| Medicare Advantage | 1 | 4 | $88.31 | $136.87 | $169.91 | 1.9× |
| txp optum health (transplant) | 1 | 4 | $485.48 | $567.92 | $687.00 | 1.4× |
| prime health services | 1 | 3 | $544.00 | $709.00 | $1,170.00 | 2.2× |
| friday health insurance company | 1 | 3 | $1,088.00 | $1,417.00 | $2,340.00 | 2.2× |
| oscar | 1 | 3 | $167.00 | $218.00 | $360.00 | 2.2× |
| phcs | 1 | 2 | $687.00 | $687.00 | $687.00 | 1.0× |
| commercial | healthsmart | all plans | 2 | 2 | $428.40 | $428.40 | $428.40 | 1.0× |
| commercial | health first | all plans | 1 | 2 | $306.00 | $312.00 | $318.00 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $139.80 | $139.80 | $139.80 | 1.0× |
| health partners open network | 2 | 2 | $214.84 | $214.84 | $214.84 | 1.0× |
| health industry trust and welfare plan | 1 | 2 | $418.77 | $526.19 | $633.60 | 1.5× |
| accountable health plans of america | 1 | 2 | $395.51 | $496.96 | $598.40 | 1.5× |
| galaxy health | 1 | 2 | $888.52 | $888.52 | $888.52 | 1.0× |
| Molina | 2 | 2 | $168.87 | $244.74 | $320.60 | 1.9× |
| choicecare network ppo, pos, med adv | 1 | 2 | $372.24 | $467.72 | $563.20 | 1.5× |
| methodist | 1 | 2 | $521.66 | $521.66 | $521.66 | 1.0× |
| choice one inc ppo | 1 | 2 | $372.24 | $467.72 | $563.20 | 1.5× |
| imagine health | 1 | 2 | $641.20 | $641.20 | $641.20 | 1.0× |
| great west healthcare of texas | 1 | 2 | $409.46 | $514.49 | $619.52 | 1.5× |
| equifax healthcare | 1 | 2 | $778.60 | $778.60 | $778.60 | 1.0× |
| choice one inc epo/pos | 1 | 2 | $335.02 | $420.95 | $506.88 | 1.5× |
| medavant healthcare solutions | 1 | 2 | $372.24 | $467.72 | $563.20 | 1.5× |
| encore exclusive | 2 | 2 | $162.17 | $162.17 | $162.17 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Clay County Memorial Hospital | Henrietta | TX | 5 | $336.00 | $235.00 | $64.00 | $82.00 | $108.00 |
| Baylor County Hospital District | Seymour | TX | 9 | $434.00 | $303.80 | $65.00 | $80.00 | $263.08 |
| Crescent Medical Center Lancaster | Lancaster | TX | 5 | $1,800.00 | $1,170.00 | $167.00 | $709.00 | $2,340.00 |
| Childrens Medical Center Of Plano | Plano | TX | 31 | $916.00 | $687.00 | $144.29 | $641.20 | $888.52 |
| San Angelo Community Medical Center | San Angelo | TX | 11 | $882.00 | $441.00 | $122.60 | $635.04 | $784.98 |
| Shannon Medical Center | San Angelo | TX | 11 | $882.00 | $441.00 | $122.60 | $635.04 | $784.98 |
| Big Spring State Hospital | Big Springs | TX | 11 | $882.00 | $441.00 | $122.60 | $635.04 | $784.98 |
| River Crest Hospital | San Angelo | TX | 11 | $882.00 | $441.00 | $122.60 | $635.04 | $784.98 |
| Driscoll Childrens Hospital | Corpus Christi | TX | 2 | $1,230.90 | $246.18 | $165.82 | $582.91 | $1,000.00 |
| Dimmit Regional Hospital District | Carrizo Springs | TX | 3 | $640.00 | $384.00 | $171.00 | $432.00 | $614.00 |
| Rice Medical Center | Eagle Lake | TX | 19 | $704.00 | $492.80 | $1.00 | $409.46 | $704.00 |
| St Lukes Health Memorial San August | San Augustine | TX | 7 | $631.00 | $220.85 | $47.00 | $407.48 | $567.90 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | $631.00 | $220.85 | $47.00 | $391.89 | $567.90 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 7 | $631.00 | $220.85 | $47.00 | $391.89 | $567.90 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 1 | — | — | $1,820.00 | $3,840.00 | $8,427.00 |
| St. Lukes Patients Medical Center | Pasadena | TX | 6 | $612.00 | $214.20 | $184.96 | $330.57 | $520.20 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 9 | $612.00 | $214.20 | $98.00 | $321.33 | $520.20 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 9 | $612.00 | $214.20 | $98.00 | $321.33 | $520.20 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 9 | $612.00 | $214.20 | $98.00 | $321.33 | $520.20 |
| St Lukes Hospital At The Vintage | Houston | TX | 9 | $612.00 | $214.20 | $98.00 | $321.33 | $520.20 |
| Brazosport Regional Health System | Lake Jackson | TX | 2 | $636.00 | $222.60 | $273.21 | $318.00 | $367.78 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 10 | $612.00 | $214.20 | $99.00 | $282.40 | $520.20 |
| Mccamey County Hospital District | Mccamey | TX | 14 | $316.00 | $316.00 | $190.00 | $278.00 | $316.00 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $363.00 | $182.00 | $225.00 | $259.50 | $327.00 |
| North Texas Medical Center | Gainsville | TX | 9 | $403.00 | $101.00 | $131.00 | $242.00 | $371.00 |
| Heritage Park Surgical Hospital | Sherman | TX | 1 | $162.00 | $97.20 | $238.44 | $238.44 | $238.44 |
| Crane County Hospital District | Crane | TX | 2 | $389.00 | $272.00 | $226.00 | $237.00 | $350.00 |
| Limestone Medical Center | Groesbeck | TX | 8 | $585.90 | $351.54 | $88.31 | $235.99 | $468.72 |
| St. Joseph Regional Health Center | Bryan | TX | 3 | $233.00 | $81.55 | $173.00 | $214.62 | $233.00 |
| College Station Medical Center | College Station | TX | 3 | $233.00 | $81.55 | $173.00 | $214.62 | $233.00 |
| Grimes St. Joseph Health Center | Navasota | TX | 3 | $233.00 | $81.55 | $173.00 | $214.62 | $233.00 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $405.00 | $324.00 | $65.00 | $214.55 | $590.31 |
| Burleson St. Joseph Health Center | Caldwell | TX | 5 | $233.00 | $81.55 | $139.80 | $203.88 | $233.00 |
| Golden Plains Community Hospital | Borger | TX | 6 | $599.00 | $419.30 | $55.11 | $198.90 | $407.32 |
| Madison St. Joseph Health Center | Madisonville | TX | 6 | $233.00 | $81.55 | $139.80 | $198.05 | $233.00 |
| Muleshoe Area Medical Center | Muleshoe | TX | 4 | $245.00 | $147.00 | $96.00 | $196.00 | $245.00 |
| Trinity Regional Hospital Sachse | Sachse | TX | 6 | $362.00 | $289.60 | $121.61 | $188.80 | $288.21 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $362.00 | $289.60 | $121.61 | $188.80 | $288.21 |
| Hansford County Hospital District | Spearman | TX | 5 | $200.00 | $150.00 | $140.00 | $180.00 | $210.00 |
| Ascension Seton Shoal Creek | Austin | TX | 7 | — | — | $20.23 | $153.33 | $162.17 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | — | — | $20.23 | $153.33 | $162.17 |
| Methodist Hospital For Surgery | Addison | TX | 32 | $642.00 | $385.20 | $123.94 | $137.35 | $232.92 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $105.21 | $105.21 | $105.21 |
| St Joseph Medical Center | Houston | TX | 0 | $1,189.42 | $1,189.42 | — | — | — |
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.