▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in TX
Hospitals
44
Min
$80
Median
$259.5
Max
$3,840
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 | $274.53 | $8,427 | 179.3× |
| UnitedHealthcare | 33 | 84 | $20.23 | $198.32 | $687.96 | 34.0× |
| Aetna | 23 | 70 | $68.89 | $257.34 | $641.2 | 9.3× |
| Humana | 16 | 40 | $88.31 | $380.36 | $705.6 | 8.0× |
| Cigna | 18 | 34 | $55.11 | $251.15 | $1,800 | 32.7× |
| Medicaid | 11 | 23 | $1 | $170.52 | $704 | 704.0× |
| Anthem BCBS | 2 | 22 | $114.67 | $162.17 | $162.17 | 1.4× |
| Multiplan | 17 | 21 | $198.05 | $441.7 | $778.6 | 3.9× |
| First Health | 12 | 17 | $242 | $661.5 | $732.8 | 3.0× |
| healthsmart | 7 | 15 | $64 | $784.98 | $784.98 | 12.3× |
| commercial | galaxy | all plans | 9 | 12 | $520.2 | $521.55 | $567.9 | 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 | $396.9 | $396.9 | $396.9 | 1.0× |
| superior health plan | 3 | 6 | $145 | $202.87 | $313 | 2.2× |
| scott & white | 5 | 6 | $264.6 | $264.6 | $650.36 | 2.5× |
| commercial | nppn | all plans | 5 | 5 | $489.6 | $489.6 | $489.6 | 1.0× |
| Medicare | 1 | 5 | $124.61 | $137.35 | $138.66 | 1.1× |
| wellmed | 2 | 5 | $65 | $70.38 | $248.48 | 3.8× |
| commercial | usa health network | all plans | 5 | 5 | $520.2 | $520.2 | $520.2 | 1.0× |
| galaxy health network | 3 | 5 | $80 | $284 | $633.6 | 7.9× |
| pphp | 1 | 4 | $90.07 | $139.62 | $173.31 | 1.9× |
| commercial | healthsmart | ppo | 4 | 4 | $428.4 | $428.4 | $428.4 | 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 | $122.6 | $122.6 | $122.6 | 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 | 1.4× |
| prime health services | 1 | 3 | $544 | $709 | $1,170 | 2.2× |
| friday health insurance company | 1 | 3 | $1,088 | $1,417 | $2,340 | 2.2× |
| oscar | 1 | 3 | $167 | $218 | $360 | 2.2× |
| phcs | 1 | 2 | $687 | $687 | $687 | 1.0× |
| commercial | healthsmart | all plans | 2 | 2 | $428.4 | $428.4 | $428.4 | 1.0× |
| commercial | health first | all plans | 1 | 2 | $306 | $312 | $318 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $139.8 | $139.8 | $139.8 | 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 | $633.6 | 1.5× |
| accountable health plans of america | 1 | 2 | $395.51 | $496.96 | $598.4 | 1.5× |
| galaxy health | 1 | 2 | $888.52 | $888.52 | $888.52 | 1.0× |
| Molina | 2 | 2 | $168.87 | $244.74 | $320.6 | 1.9× |
| choicecare network ppo, pos, med adv | 1 | 2 | $372.24 | $467.72 | $563.2 | 1.5× |
| methodist | 1 | 2 | $521.66 | $521.66 | $521.66 | 1.0× |
| choice one inc ppo | 1 | 2 | $372.24 | $467.72 | $563.2 | 1.5× |
| imagine health | 1 | 2 | $641.2 | $641.2 | $641.2 | 1.0× |
| great west healthcare of texas | 1 | 2 | $409.46 | $514.49 | $619.52 | 1.5× |
| equifax healthcare | 1 | 2 | $778.6 | $778.6 | $778.6 | 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 | $563.2 | 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 | $235 | $64 | $82 | $108 |
| BAYLOR COUNTY HOSPITAL DISTRICT | SEYMOUR | TX | 9 | $434 | $303.8 | $65 | $80 | $263.08 |
| CRESCENT MEDICAL CENTER LANCASTER | LANCASTER | TX | 5 | $1,800 | $1,170 | $167 | $709 | $2,340 |
| CHILDRENS MEDICAL CENTER OF PLANO | PLANO | TX | 31 | $916 | $687 | $144.29 | $641.2 | $888.52 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 11 | $882 | $441 | $122.6 | $635.04 | $784.98 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 11 | $882 | $441 | $122.6 | $635.04 | $784.98 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 11 | $882 | $441 | $122.6 | $635.04 | $784.98 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 11 | $882 | $441 | $122.6 | $635.04 | $784.98 |
| DRISCOLL CHILDRENS HOSPITAL | CORPUS CHRISTI | TX | 2 | $1,230.9 | $246.18 | $165.82 | $582.91 | $1,000 |
| DIMMIT REGIONAL HOSPITAL DISTRICT | CARRIZO SPRINGS | TX | 3 | $640 | $384 | $171 | $432 | $614 |
| RICE MEDICAL CENTER | EAGLE LAKE | TX | 19 | $704 | $492.8 | $1 | $409.46 | $704 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 7 | $631 | $220.85 | $47 | $407.48 | $567.9 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 6 | $631 | $220.85 | $47 | $391.89 | $567.9 |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | LUFKIN | TX | 7 | $631 | $220.85 | $47 | $391.89 | $567.9 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 1 | — | — | $1,820 | $3,840 | $8,427 |
| ST. LUKES PATIENTS MEDICAL CENTER | PASADENA | TX | 6 | $612 | $214.2 | $184.96 | $330.57 | $520.2 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 9 | $612 | $214.2 | $98 | $321.33 | $520.2 |
| ST. LUKES SUGAR LAND HOSPITAL | SUGAR LAND | TX | 9 | $612 | $214.2 | $98 | $321.33 | $520.2 |
| ST. LUKES THE WOODLANDS HOSPITAL | THE WOODLANDS | TX | 9 | $612 | $214.2 | $98 | $321.33 | $520.2 |
| ST LUKES HOSPITAL AT THE VINTAGE | HOUSTON | TX | 9 | $612 | $214.2 | $98 | $321.33 | $520.2 |
| BRAZOSPORT REGIONAL HEALTH SYSTEM | LAKE JACKSON | TX | 2 | $636 | $222.6 | $273.21 | $318 | $367.78 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 10 | $612 | $214.2 | $99 | $282.4 | $520.2 |
| MCCAMEY COUNTY HOSPITAL DISTRICT | MCCAMEY | TX | 14 | $316 | $316 | $190 | $278 | $316 |
| EASTLAND MEMORIAL HOSPITAL | EASTLAND | TX | 3 | $363 | $182 | $225 | $259.5 | $327 |
| NORTH TEXAS MEDICAL CENTER | GAINSVILLE | TX | 9 | $403 | $101 | $131 | $242 | $371 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 1 | $162 | $97.2 | $238.44 | $238.44 | $238.44 |
| CRANE COUNTY HOSPITAL DISTRICT | CRANE | TX | 2 | $389 | $272 | $226 | $237 | $350 |
| LIMESTONE MEDICAL CENTER | GROESBECK | TX | 8 | $585.9 | $351.54 | $88.31 | $235.99 | $468.72 |
| ST. JOSEPH REGIONAL HEALTH CENTER | BRYAN | TX | 3 | $233 | $81.55 | $173 | $214.62 | $233 |
| COLLEGE STATION MEDICAL CENTER | COLLEGE STATION | TX | 3 | $233 | $81.55 | $173 | $214.62 | $233 |
| GRIMES ST. JOSEPH HEALTH CENTER | NAVASOTA | TX | 3 | $233 | $81.55 | $173 | $214.62 | $233 |
| FALLS COMMUNITY HOSPITAL AND CLINIC | MARLIN | TX | 6 | $405 | $324 | $65 | $214.55 | $590.31 |
| BURLESON ST. JOSEPH HEALTH CENTER | CALDWELL | TX | 5 | $233 | $81.55 | $139.8 | $203.88 | $233 |
| GOLDEN PLAINS COMMUNITY HOSPITAL | BORGER | TX | 6 | $599 | $419.3 | $55.11 | $198.9 | $407.32 |
| MADISON ST. JOSEPH HEALTH CENTER | MADISONVILLE | TX | 6 | $233 | $81.55 | $139.8 | $198.05 | $233 |
| MULESHOE AREA MEDICAL CENTER | MULESHOE | TX | 4 | $245 | $147 | $96 | $196 | $245 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 6 | $362 | $289.6 | $121.61 | $188.8 | $288.21 |
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 8 | $362 | $289.6 | $121.61 | $188.8 | $288.21 |
| HANSFORD COUNTY HOSPITAL DISTRICT | SPEARMAN | TX | 5 | $200 | $150 | $140 | $180 | $210 |
| 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 | $385.2 | $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.