▸ Compare · PriceTransparency
Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in TX
Hospitals
46
Min
$28.18
Median
$97.00
Max
$7,584.00
Range multiplier
269.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 38 | 182 | $15.23 | $60.11 | $8,427.00 | 553.3× |
| UnitedHealthcare | 30 | 79 | $4.09 | $109.00 | $269.00 | 65.8× |
| Aetna | 23 | 77 | $13.23 | $94.00 | $394.42 | 29.8× |
| Humana | 16 | 41 | $15.23 | $211.64 | $295.81 | 19.4× |
| Cigna | 18 | 37 | $6.26 | $80.00 | $1,090.00 | 174.1× |
| Medicaid | 11 | 24 | $1.00 | $74.72 | $547.80 | 547.8× |
| Anthem BCBS | 2 | 22 | $29.97 | $43.00 | $43.00 | 1.4× |
| Multiplan | 17 | 21 | $77.00 | $228.75 | $315.00 | 4.1× |
| First Health | 12 | 17 | $66.00 | $224.25 | $247.20 | 3.7× |
| healthsmart | 7 | 16 | $20.00 | $264.38 | $266.11 | 13.3× |
| commercial | galaxy | all plans | 9 | 12 | $259.25 | $270.93 | $319.50 | 1.2× |
| assurant health | 4 | 8 | $197.34 | $197.34 | $197.34 | 1.0× |
| web tpa | 4 | 8 | $134.55 | $134.55 | $134.55 | 1.0× |
| commercial | phcs | all plans | 5 | 8 | $211.95 | $239.63 | $297.50 | 1.4× |
| scott & white | 5 | 6 | $89.70 | $89.70 | $219.39 | 2.4× |
| wellmed | 2 | 6 | $13.23 | $48.49 | $248.48 | 18.8× |
| superior health plan | 3 | 6 | $44.00 | $68.33 | $109.00 | 2.5× |
| commercial | nppn | all plans | 5 | 5 | $244.00 | $244.00 | $244.00 | 1.0× |
| Medicare | 1 | 5 | $33.14 | $137.35 | $138.66 | 4.2× |
| galaxy health network | 3 | 5 | $80.00 | $83.16 | $493.02 | 6.2× |
| commercial | usa health network | all plans | 5 | 5 | $259.25 | $259.25 | $259.25 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $43.00 | $43.00 | $43.00 | 1.0× |
| commercial | healthsmart | ppo | 4 | 4 | $213.50 | $213.50 | $213.50 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $43.00 | $43.00 | $43.00 | 1.0× |
| city of san angelo | 4 | 4 | $41.56 | $41.56 | $41.56 | 1.0× |
| Medicare Advantage | 1 | 4 | $15.23 | $43.09 | $111.75 | 7.3× |
| mhs care connect | 2 | 4 | $29.97 | $29.97 | $29.97 | 1.0× |
| pphp | 1 | 4 | $15.53 | $43.95 | $113.99 | 7.3× |
| txp optum health (transplant) | 1 | 4 | $163.77 | $191.58 | $231.75 | 1.4× |
| oscar | 1 | 2 | $45.00 | $131.50 | $218.00 | 4.8× |
| muti-plan | 1 | 2 | $20.00 | $50.50 | $81.00 | 4.0× |
| commercial | healthsmart | all plans | 2 | 2 | $213.50 | $213.50 | $213.50 | 1.0× |
| commercial | health first | all plans | 1 | 2 | $144.00 | $146.75 | $149.50 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $210.00 | $210.00 | $210.00 | 1.0× |
| health partners open network | 2 | 2 | $42.19 | $42.19 | $42.19 | 1.0× |
| health industry trust and welfare plan | 1 | 2 | $83.16 | $288.09 | $493.02 | 5.9× |
| accountable health plans of america | 1 | 2 | $78.54 | $272.09 | $465.63 | 5.9× |
| phcs | 1 | 2 | $231.75 | $231.75 | $231.75 | 1.0× |
| galaxy health | 1 | 2 | $299.73 | $299.73 | $299.73 | 1.0× |
| methodist | 1 | 2 | $175.98 | $175.98 | $175.98 | 1.0× |
| choicecare network ppo, pos, med adv | 1 | 2 | $73.92 | $256.08 | $438.24 | 5.9× |
| friday health insurance company | 1 | 2 | $290.00 | $853.50 | $1,417.00 | 4.9× |
| medcorp southwest | 1 | 2 | $78.54 | $272.09 | $465.63 | 5.9× |
| alliance regional | 1 | 2 | $71.00 | $109.50 | $148.00 | 2.1× |
| choice one inc ppo | 1 | 2 | $73.92 | $256.08 | $438.24 | 5.9× |
| great west healthcare of texas | 1 | 2 | $81.31 | $281.69 | $482.06 | 5.9× |
| equifax healthcare | 1 | 2 | $262.65 | $262.65 | $262.65 | 1.0× |
| choice one inc epo/pos | 1 | 2 | $66.53 | $230.48 | $394.42 | 5.9× |
| 90 degrees | 1 | 2 | $79.00 | $121.50 | $164.00 | 2.1× |
| imagine health | 1 | 2 | $216.30 | $216.30 | $216.30 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mccamey County Hospital District | Mccamey | TX | 14 | $110.00 | $110.00 | $66.00 | $97.00 | $110.00 |
| Hansford County Hospital District | Spearman | TX | 5 | $156.00 | $117.00 | $53.00 | $94.00 | $164.00 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $252.00 | $201.60 | $17.40 | $93.19 | $201.60 |
| Rice Medical Center | Eagle Lake | TX | 19 | $547.80 | $383.46 | $1.00 | $92.40 | $547.80 |
| Heritage Park Surgical Hospital | Sherman | TX | 1 | $63.00 | $37.80 | $80.09 | $80.09 | $80.09 |
| Baylor County Hospital District | Seymour | TX | 9 | $209.00 | $146.30 | $65.00 | $80.00 | $263.08 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 1 | — | — | $3,986.00 | $7,584.00 | $8,427.00 |
| Brazosport Regional Health System | Lake Jackson | TX | 2 | $299.00 | $104.65 | $53.75 | $72.35 | $149.50 |
| Limestone Medical Center | Groesbeck | TX | 8 | $385.35 | $231.21 | $15.23 | $67.12 | $308.28 |
| North Texas Medical Center | Gainsville | TX | 9 | $110.00 | $28.00 | $26.00 | $66.00 | $101.00 |
| Golden Plains Community Hospital | Borger | TX | 6 | $298.00 | $208.60 | $6.26 | $63.93 | $248.48 |
| Muleshoe Area Medical Center | Muleshoe | TX | 4 | $75.00 | $45.00 | $29.00 | $60.00 | $75.00 |
| Driscoll Childrens Hospital | Corpus Christi | TX | 2 | $581.90 | $116.38 | $165.82 | $582.91 | $1,000.00 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $80.00 | $40.00 | $50.00 | $57.00 | $72.00 |
| St. Joseph Regional Health Center | Bryan | TX | 2 | $350.00 | $122.50 | $45.00 | $56.50 | $297.50 |
| College Station Medical Center | College Station | TX | 2 | $350.00 | $122.50 | $45.00 | $56.50 | $297.50 |
| Grimes St. Joseph Health Center | Navasota | TX | 2 | $350.00 | $122.50 | $45.00 | $56.50 | $297.50 |
| Crane County Hospital District | Crane | TX | 2 | $91.00 | $64.00 | $56.00 | $56.50 | $82.00 |
| Clay County Memorial Hospital | Henrietta | TX | 5 | $403.00 | $282.00 | $20.00 | $56.50 | $129.00 |
| Trinity Regional Hospital Sachse | Sachse | TX | 6 | $104.00 | $83.20 | $32.24 | $49.59 | $66.60 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $104.00 | $83.20 | $32.24 | $49.59 | $66.60 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | $418.00 | $250.80 | $4.09 | $36.49 | $43.00 |
| Ascension Seton Shoal Creek | Austin | TX | 7 | $418.00 | $250.80 | $4.09 | $36.49 | $43.00 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $28.18 | $28.18 | $28.18 |
| Crescent Medical Center Lancaster | Lancaster | TX | 5 | $1,090.00 | $709.00 | $45.00 | $256.50 | $1,417.00 |
| St Lukes Health Memorial San August | San Augustine | TX | 7 | $355.00 | $124.25 | $47.00 | $224.75 | $319.50 |
| Burleson St. Joseph Health Center | Caldwell | TX | 6 | $350.00 | $122.50 | $45.00 | $217.00 | $315.00 |
| Childrens Medical Center Of Plano | Plano | TX | 31 | $309.00 | $231.75 | $48.07 | $216.30 | $299.73 |
| Shannon Medical Center | San Angelo | TX | 11 | $299.00 | $149.50 | $41.56 | $215.28 | $266.11 |
| San Angelo Community Medical Center | San Angelo | TX | 11 | $299.00 | $149.50 | $41.56 | $215.28 | $266.11 |
| Big Spring State Hospital | Big Springs | TX | 11 | $299.00 | $149.50 | $41.56 | $215.28 | $266.11 |
| River Crest Hospital | San Angelo | TX | 11 | $299.00 | $149.50 | $41.56 | $215.28 | $266.11 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | $355.00 | $124.25 | $47.00 | $211.80 | $319.50 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 7 | $355.00 | $124.25 | $47.00 | $211.80 | $319.50 |
| Madison St. Joseph Health Center | Madisonville | TX | 5 | $350.00 | $122.50 | $45.00 | $210.00 | $315.00 |
| St. Lukes Patients Medical Center | Pasadena | TX | 6 | $305.00 | $106.75 | $36.59 | $205.88 | $269.00 |
| St Lukes Hospital At The Vintage | Houston | TX | 9 | $305.00 | $106.75 | $36.36 | $138.38 | $259.25 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 9 | $305.00 | $106.75 | $36.36 | $138.38 | $259.25 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 9 | $305.00 | $106.75 | $36.36 | $138.38 | $259.25 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 9 | $305.00 | $106.75 | $36.36 | $138.38 | $259.25 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 10 | $305.00 | $106.75 | $23.00 | $137.25 | $259.25 |
| Methodist Hospital For Surgery | Addison | TX | 32 | $390.00 | $234.00 | $33.14 | $130.81 | $141.28 |
| Dimmit Regional Hospital District | Carrizo Springs | TX | 3 | $215.00 | $129.00 | $46.00 | $115.00 | $206.00 |
| St Joseph Medical Center | Houston | TX | 0 | $495.59 | $495.59 | — | — | — |
| Yoakum County Hospital | Denver City | TX | 0 | $68.82 | $68.82 | — | — | — |
| The Medical Ctr Of Southeast Texas | Port Arthur | TX | 0 | $444.09 | $444.09 | — | — | — |
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.