▸ 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
Max
$7,584
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 | 553.3× |
| UnitedHealthcare | 30 | 79 | $4.09 | $109 | $269 | 65.8× |
| Aetna | 23 | 77 | $13.23 | $94 | $394.42 | 29.8× |
| Humana | 16 | 41 | $15.23 | $211.64 | $295.81 | 19.4× |
| Cigna | 18 | 37 | $6.26 | $80 | $1,090 | 174.1× |
| Medicaid | 11 | 24 | $1 | $74.72 | $547.8 | 547.8× |
| Anthem BCBS | 2 | 22 | $29.97 | $43 | $43 | 1.4× |
| Multiplan | 17 | 21 | $77 | $228.75 | $315 | 4.1× |
| First Health | 12 | 17 | $66 | $224.25 | $247.2 | 3.7× |
| healthsmart | 7 | 16 | $20 | $264.38 | $266.11 | 13.3× |
| commercial | galaxy | all plans | 9 | 12 | $259.25 | $270.93 | $319.5 | 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 | $297.5 | 1.4× |
| scott & white | 5 | 6 | $89.7 | $89.7 | $219.39 | 2.4× |
| wellmed | 2 | 6 | $13.23 | $48.49 | $248.48 | 18.8× |
| superior health plan | 3 | 6 | $44 | $68.33 | $109 | 2.5× |
| commercial | nppn | all plans | 5 | 5 | $244 | $244 | $244 | 1.0× |
| Medicare | 1 | 5 | $33.14 | $137.35 | $138.66 | 4.2× |
| galaxy health network | 3 | 5 | $80 | $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 | $43 | $43 | 1.0× |
| commercial | healthsmart | ppo | 4 | 4 | $213.5 | $213.5 | $213.5 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $43 | $43 | $43 | 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 | $131.5 | $218 | 4.8× |
| muti-plan | 1 | 2 | $20 | $50.5 | $81 | 4.0× |
| commercial | healthsmart | all plans | 2 | 2 | $213.5 | $213.5 | $213.5 | 1.0× |
| commercial | health first | all plans | 1 | 2 | $144 | $146.75 | $149.5 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $210 | $210 | $210 | 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 | $853.5 | $1,417 | 4.9× |
| medcorp southwest | 1 | 2 | $78.54 | $272.09 | $465.63 | 5.9× |
| alliance regional | 1 | 2 | $71 | $109.5 | $148 | 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 | $121.5 | $164 | 2.1× |
| imagine health | 1 | 2 | $216.3 | $216.3 | $216.3 | 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 | $110 | $66 | $97 | $110 |
| HANSFORD COUNTY HOSPITAL DISTRICT | SPEARMAN | TX | 5 | $156 | $117 | $53 | $94 | $164 |
| FALLS COMMUNITY HOSPITAL AND CLINIC | MARLIN | TX | 6 | $252 | $201.6 | $17.4 | $93.19 | $201.6 |
| RICE MEDICAL CENTER | EAGLE LAKE | TX | 19 | $547.8 | $383.46 | $1 | $92.4 | $547.8 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 1 | $63 | $37.8 | $80.09 | $80.09 | $80.09 |
| BAYLOR COUNTY HOSPITAL DISTRICT | SEYMOUR | TX | 9 | $209 | $146.3 | $65 | $80 | $263.08 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 1 | — | — | $3,986 | $7,584 | $8,427 |
| BRAZOSPORT REGIONAL HEALTH SYSTEM | LAKE JACKSON | TX | 2 | $299 | $104.65 | $53.75 | $72.35 | $149.5 |
| LIMESTONE MEDICAL CENTER | GROESBECK | TX | 8 | $385.35 | $231.21 | $15.23 | $67.12 | $308.28 |
| NORTH TEXAS MEDICAL CENTER | GAINSVILLE | TX | 9 | $110 | $28 | $26 | $66 | $101 |
| GOLDEN PLAINS COMMUNITY HOSPITAL | BORGER | TX | 6 | $298 | $208.6 | $6.26 | $63.93 | $248.48 |
| MULESHOE AREA MEDICAL CENTER | MULESHOE | TX | 4 | $75 | $45 | $29 | $60 | $75 |
| DRISCOLL CHILDRENS HOSPITAL | CORPUS CHRISTI | TX | 2 | $581.9 | $116.38 | $165.82 | $582.91 | $1,000 |
| EASTLAND MEMORIAL HOSPITAL | EASTLAND | TX | 3 | $80 | $40 | $50 | $57 | $72 |
| ST. JOSEPH REGIONAL HEALTH CENTER | BRYAN | TX | 2 | $350 | $122.5 | $45 | $56.5 | $297.5 |
| COLLEGE STATION MEDICAL CENTER | COLLEGE STATION | TX | 2 | $350 | $122.5 | $45 | $56.5 | $297.5 |
| GRIMES ST. JOSEPH HEALTH CENTER | NAVASOTA | TX | 2 | $350 | $122.5 | $45 | $56.5 | $297.5 |
| CRANE COUNTY HOSPITAL DISTRICT | CRANE | TX | 2 | $91 | $64 | $56 | $56.5 | $82 |
| CLAY COUNTY MEMORIAL HOSPITAL | HENRIETTA | TX | 5 | $403 | $282 | $20 | $56.5 | $129 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 6 | $104 | $83.2 | $32.24 | $49.59 | $66.6 |
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 8 | $104 | $83.2 | $32.24 | $49.59 | $66.6 |
| ASCENSION SETON BASTROP | BASTROP | TX | 7 | $418 | $250.8 | $4.09 | $36.49 | $43 |
| ASCENSION SETON SHOAL CREEK | AUSTIN | TX | 7 | $418 | $250.8 | $4.09 | $36.49 | $43 |
| ACUITY HOSPITAL OF SOUTH TEXAS | SAN ANTONIO | TX | 1 | — | — | $28.18 | $28.18 | $28.18 |
| CRESCENT MEDICAL CENTER LANCASTER | LANCASTER | TX | 5 | $1,090 | $709 | $45 | $256.5 | $1,417 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 7 | $355 | $124.25 | $47 | $224.75 | $319.5 |
| BURLESON ST. JOSEPH HEALTH CENTER | CALDWELL | TX | 6 | $350 | $122.5 | $45 | $217 | $315 |
| CHILDRENS MEDICAL CENTER OF PLANO | PLANO | TX | 31 | $309 | $231.75 | $48.07 | $216.3 | $299.73 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 11 | $299 | $149.5 | $41.56 | $215.28 | $266.11 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 11 | $299 | $149.5 | $41.56 | $215.28 | $266.11 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 11 | $299 | $149.5 | $41.56 | $215.28 | $266.11 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 11 | $299 | $149.5 | $41.56 | $215.28 | $266.11 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 6 | $355 | $124.25 | $47 | $211.8 | $319.5 |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | LUFKIN | TX | 7 | $355 | $124.25 | $47 | $211.8 | $319.5 |
| MADISON ST. JOSEPH HEALTH CENTER | MADISONVILLE | TX | 5 | $350 | $122.5 | $45 | $210 | $315 |
| ST. LUKES PATIENTS MEDICAL CENTER | PASADENA | TX | 6 | $305 | $106.75 | $36.59 | $205.88 | $269 |
| ST LUKES HOSPITAL AT THE VINTAGE | HOUSTON | TX | 9 | $305 | $106.75 | $36.36 | $138.38 | $259.25 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 9 | $305 | $106.75 | $36.36 | $138.38 | $259.25 |
| ST. LUKES SUGAR LAND HOSPITAL | SUGAR LAND | TX | 9 | $305 | $106.75 | $36.36 | $138.38 | $259.25 |
| ST. LUKES THE WOODLANDS HOSPITAL | THE WOODLANDS | TX | 9 | $305 | $106.75 | $36.36 | $138.38 | $259.25 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 10 | $305 | $106.75 | $23 | $137.25 | $259.25 |
| METHODIST HOSPITAL FOR SURGERY | ADDISON | TX | 32 | $390 | $234 | $33.14 | $130.81 | $141.28 |
| DIMMIT REGIONAL HOSPITAL DISTRICT | CARRIZO SPRINGS | TX | 3 | $215 | $129 | $46 | $115 | $206 |
| 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.