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CPT 99211 · negotiated-rate distribution across hospitals in TX

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Hospitals
52
Min
$7.00
Median
$97.37
Max
$7,584.00
Range multiplier
1083.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield42231$8.20$32.89$8,427.001027.7×
UnitedHealthcare38140$1.55$115.37$3,300.002129.0×
Aetna25114$4.83$125.92$2,504.70518.6×
Humana1971$8.04$158.39$3,036.00377.6×
Cigna2257$3.86$115.50$2,732.40707.9×
Medicaid1544$1.00$125.95$547.80547.8×
First Health1335$98.25$207.00$2,846.2529.0×
healthsmart732$17.00$197.20$3,377.55198.7×
Multiplan1730$22.00$171.75$369.7516.8×
assurant health424$86.46$182.16$2,504.7029.0×
web tpa424$58.95$124.20$1,707.7529.0×
Anthem BCBS222$13.74$19.98$19.981.5×
commercial | galaxy | all plans918$183.60$207.45$238.501.3×
healthcare highways [2210]518$37.25$155.58$256.236.9×
scott & white514$39.30$82.80$1,138.5029.0×
commercial | phcs | all plans514$152.55$172.13$229.501.5×
superior health plan312$16.00$35.50$233.0014.6×
city of san angelo412$18.21$38.36$527.5129.0×
web tpa [2115]511$37.25$256.23$525.6014.1×
umr [2035]59$66.45$260.17$390.265.9×
healthscope benefits [2290]57$37.25$118.26$169.654.6×
galaxy health network37$20.00$80.00$493.0224.7×
wellpoint25$15.00$50.00$155.0010.3×
wellmed25$4.83$65.00$248.4851.4×
phcs [1780]45$99.83$304.50$362.243.6×
pphp15$8.70$23.29$87.9010.1×
Medicare15$8.22$137.35$138.6616.9×
Medicare Advantage15$8.53$22.84$86.1710.1×
commercial | usa health network | all plans55$194.65$194.65$194.651.0×
commercial | nppn | all plans55$183.20$183.20$183.201.0×
three rivers provider network14$19.00$63.00$200.0010.5×
black lung [6055]44$37.25$89.88$169.654.6×
lucent health [6000]44$37.25$89.88$169.654.6×
healthsmart preferred network14$20.00$66.50$212.0010.6×
scott and white health plan14$20.00$66.50$212.0010.6×
txp optum health (transplant)14$92.75$108.50$131.251.4×
patoka valley tier 224$19.98$19.98$19.981.0×
group pension admin [1450]44$99.83$160.01$362.243.6×
choicecare14$18.00$59.50$188.0010.4×
firstcare14$20.00$66.50$212.0010.6×
amerigroup commercial [5055]44$37.25$89.88$169.654.6×
mhs care connect24$13.74$13.74$13.741.0×
private health care systems (phcs)14$20.00$66.50$212.0010.6×
commercial | healthsmart | ppo44$160.30$160.30$160.301.0×
mailhandlers [1595]34$251.41$340.85$377.121.5×
patoka valley tier 124$19.98$19.98$19.981.0×
capstar14$22.00$73.50$233.0010.6×
insurance management services (ims) [1540]13$152.25$182.70$195.751.3×
aarp [1000]33$66.45$68.24$280.174.2×
tml [1980]33$99.83$266.66$362.243.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
College Station Medical CenterCollege StationTX3$270.00$94.50$16.42$97.37$3,300.00
St. Joseph Regional Health CenterBryanTX3$270.00$94.50$16.42$97.37$3,300.00
Grimes St. Joseph Health CenterNavasotaTX3$270.00$94.50$16.42$97.37$3,300.00
Baylor County Hospital DistrictSeymourTX9$176.00$123.20$65.00$80.00$263.08
Baylor Orthopedic And Spine HospitalArlingtonTX1$3,986.00$7,584.00$8,427.00
Hansford County Hospital DistrictSpearmanTX5$153.00$115.00$28.00$74.50$161.00
Acuity Hospital Of South TexasSan AntonioTX1$7.00$7.00$7.00
Lifecare Spec Hosp Of North TexasDallasTX14$153.00$15.30$38.25$68.24$143.08
Eastland Memorial HospitalEastlandTX3$273.00$137.00$20.00$66.50$246.00
Texas Rehabilitation Hospital Of KelKellerTX21$149.00$14.90$37.25$66.45$99.83
Driscoll Childrens HospitalCorpus ChristiTX2$386.10$77.22$165.82$582.91$1,000.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$150.00$90.00$23.00$58.00$144.00
Clay County Memorial HospitalHenriettaTX5$403.00$282.00$17.00$54.00$129.00
Mccamey County Hospital DistrictMccameyTX14$235.00$235.00$13.00$51.50$235.00
Limestone Medical CenterGroesbeckTX8$297.15$178.29$8.53$48.67$237.72
Muleshoe Area Medical CenterMuleshoeTX4$60.00$36.00$23.00$48.00$60.00
Rice Medical CenterEagle LakeTX19$547.80$383.46$1.00$416.33$547.80
Crane County Hospital DistrictCraneTX2$101.00$71.00$28.00$38.50$91.00
Heritage Park Surgical HospitalShermanTX1$33.00$19.80$32.33$32.33$32.33
Baptist Saint Anthonys HospitalAmarilloTX82$435.00$43.50$40.72$304.50$369.75
Falls Community Hospital And ClinicMarlinTX6$75.00$60.00$8.40$29.40$60.00
Golden Plains Community HospitalBorgerTX6$298.00$208.60$3.86$26.85$248.48
Round Rock HospitalRound RockTX1$26.61$26.75$32.42
Baylor Scott & White - Marble FallsMarble FallsTX1$26.61$26.75$32.42
Brazosport Regional Health SystemLake JacksonTX2$225.00$78.75$19.41$26.12$112.50
Seton Medical Center Harker HeightsHarker HeightsTX21$657.00$65.70$78.84$256.23$568.96
Ut Health East Texas Specialty HospiTylerTX22$566.00$56.60$141.50$226.16$362.24
San Angelo Community Medical CenterSan AngeloTX11$3,795.00$1,897.50$18.21$198.72$3,377.55
Shannon Medical CenterSan AngeloTX11$3,795.00$1,897.50$18.21$198.72$3,377.55
Big Spring State HospitalBig SpringsTX11$3,795.00$1,897.50$18.21$198.72$3,377.55
River Crest HospitalSan AngeloTX11$3,795.00$1,897.50$18.21$198.72$3,377.55
Crescent Medical Center LancasterLancasterTX5$1,090.00$709.00$22.00$180.50$1,417.00
Madison St. Joseph Health CenterMadisonvilleTX6$270.00$94.50$16.42$172.80$3,300.00
St Lukes Health Memorial San AugustSan AugustineTX7$265.00$92.75$18.47$171.80$238.50
Burleson St. Joseph Health CenterCaldwellTX6$270.00$94.50$16.42$167.40$243.00
Ascension Seton Shoal CreekAustinTX7$360.00$216.00$1.55$16.86$19.98
Ascension Seton BastropBastropTX7$360.00$216.00$1.55$16.86$19.98
Chi St Lukes Health Mem LivingstonLivingstonTX6$265.00$92.75$18.47$158.51$238.50
Chi St Lukes Health Memorial LufkinLufkinTX7$265.00$92.75$18.47$158.51$238.50
St. Lukes Patients Medical CenterPasadenaTX6$216.00$75.60$13.21$145.80$269.00
Methodist Hospital For SurgeryAddisonTX32$369.00$221.40$8.22$130.81$141.28
Childrens Medical Center Of PlanoPlanoTX31$175.00$131.25$19.46$122.50$169.75
Trinity Regional Hospital SachseSachseTX6$51.00$40.80$8.04$12.30$20.76
Wilson N Jones Regional Medical CtrShermanTX8$51.00$40.80$8.04$12.30$20.76
St. Lukes The Woodlands HospitalThe WoodlandsTX9$229.00$80.15$13.13$117.48$194.65
St. Lukes Lakeside HospitalThe WoodlandsTX9$229.00$80.15$13.13$117.48$194.65
St Lukes Hospital At The VintageHoustonTX9$229.00$80.15$13.13$117.48$194.65
St. Lukes Sugar Land HospitalSugar LandTX9$229.00$80.15$13.13$117.48$194.65
Chi St Lukes Health Baylor Med CtrHoustonTX10$229.00$80.15$8.30$110.00$194.65
St Joseph Medical CenterHoustonTX0$488.06$488.06
Nocona General HospitalNoconaTX0$91.00$3.75
Yoakum County HospitalDenver CityTX0$36.04$36.04

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.