▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in TX
Hospitals
45
Min
$42.00
Median
$149.10
Max
$7,584.00
Range multiplier
180.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 38 | 190 | $43.24 | $113.43 | $8,427.00 | 194.9× |
| UnitedHealthcare | 30 | 89 | $7.82 | $130.81 | $602.94 | 77.1× |
| Aetna | 23 | 82 | $23.94 | $150.80 | $510.18 | 21.3× |
| Humana | 16 | 49 | $43.24 | $248.48 | $618.40 | 14.3× |
| Cigna | 18 | 38 | $21.34 | $131.01 | $1,270.00 | 59.5× |
| First Health | 12 | 25 | $109.00 | $263.25 | $579.75 | 5.3× |
| healthsmart | 7 | 24 | $28.00 | $312.39 | $687.97 | 24.6× |
| Multiplan | 17 | 24 | $57.40 | $286.50 | $346.50 | 6.0× |
| Anthem BCBS | 2 | 22 | $50.43 | $71.77 | $71.77 | 1.4× |
| Medicaid | 11 | 21 | $1.00 | $50.43 | $630.30 | 630.3× |
| web tpa | 4 | 16 | $157.95 | $252.90 | $347.85 | 2.2× |
| assurant health | 4 | 16 | $231.66 | $370.92 | $510.18 | 2.2× |
| commercial | galaxy | all plans | 9 | 15 | $73.80 | $324.70 | $393.30 | 5.3× |
| commercial | phcs | all plans | 5 | 11 | $55.35 | $261.23 | $327.25 | 5.9× |
| scott & white | 5 | 10 | $105.30 | $219.39 | $231.90 | 2.2× |
| city of san angelo | 4 | 8 | $48.79 | $78.12 | $107.45 | 2.2× |
| wellmed | 2 | 6 | $26.68 | $59.18 | $248.48 | 9.3× |
| superior health plan | 3 | 6 | $59.00 | $80.83 | $140.00 | 2.4× |
| commercial | nppn | all plans | 5 | 5 | $305.60 | $305.60 | $305.60 | 1.0× |
| galaxy health network | 3 | 5 | $80.00 | $127.00 | $567.27 | 7.1× |
| Medicare | 1 | 5 | $61.39 | $137.35 | $138.66 | 2.3× |
| commercial | usa health network | all plans | 5 | 5 | $324.70 | $324.70 | $324.70 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $71.77 | $71.77 | $71.77 | 1.0× |
| commercial | healthsmart | ppo | 4 | 4 | $267.40 | $267.40 | $267.40 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $71.77 | $71.77 | $71.77 | 1.0× |
| txp optum health (transplant) | 1 | 4 | $163.77 | $191.58 | $231.75 | 1.4× |
| mhs care connect | 2 | 4 | $50.43 | $50.43 | $50.43 | 1.0× |
| pphp | 1 | 3 | $44.10 | $76.09 | $94.11 | 2.1× |
| Medicare Advantage | 1 | 3 | $43.24 | $74.60 | $92.26 | 2.1× |
| phcs | 1 | 2 | $231.75 | $231.75 | $231.75 | 1.0× |
| commercial | healthsmart | all plans | 2 | 2 | $267.40 | $267.40 | $267.40 | 1.0× |
| commercial | health first | all plans | 1 | 2 | $180.00 | $183.75 | $187.50 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $231.00 | $231.00 | $231.00 | 1.0× |
| health industry trust and welfare plan | 1 | 2 | $164.34 | $365.81 | $567.27 | 3.5× |
| accountable health plans of america | 1 | 2 | $155.21 | $345.49 | $535.76 | 3.5× |
| muti-plan | 1 | 2 | $28.00 | $35.00 | $42.00 | 1.5× |
| private healthcare systems | 1 | 2 | $146.08 | $325.16 | $504.24 | 3.5× |
| great west healthcare of texas | 1 | 2 | $160.69 | $357.68 | $554.66 | 3.5× |
| galaxy health | 1 | 2 | $299.73 | $299.73 | $299.73 | 1.0× |
| choicecare network ppo, pos, med adv | 1 | 2 | $146.08 | $325.16 | $504.24 | 3.5× |
| medcorp southwest | 1 | 2 | $155.21 | $345.49 | $535.76 | 3.5× |
| alliance regional | 1 | 2 | $95.00 | $134.50 | $174.00 | 1.8× |
| methodist | 1 | 2 | $175.98 | $175.98 | $175.98 | 1.0× |
| Molina | 2 | 2 | $83.19 | $95.67 | $108.15 | 1.3× |
| choice one inc ppo | 1 | 2 | $146.08 | $325.16 | $504.24 | 3.5× |
| equifax healthcare | 1 | 2 | $262.65 | $262.65 | $262.65 | 1.0× |
| choice one inc epo/pos | 1 | 2 | $131.47 | $292.65 | $453.82 | 3.5× |
| health partners open network | 2 | 2 | $83.62 | $83.62 | $83.62 | 1.0× |
| 90 degrees | 1 | 2 | $105.00 | $148.50 | $192.00 | 1.8× |
| 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 |
|---|---|---|---|---|---|---|---|---|
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $201.00 | $160.80 | $60.36 | $93.20 | $124.66 |
| Trinity Regional Hospital Sachse | Sachse | TX | 6 | $201.00 | $160.80 | $60.36 | $93.20 | $124.66 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $130.00 | $65.00 | $81.00 | $93.00 | $117.00 |
| Muleshoe Area Medical Center | Muleshoe | TX | 4 | $100.00 | $60.00 | $39.00 | $80.00 | $100.00 |
| Baylor County Hospital District | Seymour | TX | 9 | $197.00 | $137.90 | $23.94 | $80.00 | $263.08 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 1 | — | — | $3,986.00 | $7,584.00 | $8,427.00 |
| Crescent Medical Center Lancaster | Lancaster | TX | 5 | $1,270.00 | $826.00 | $254.00 | $635.00 | $1,651.00 |
| Ascension Seton Shoal Creek | Austin | TX | 7 | $556.00 | $333.60 | $7.82 | $63.83 | $71.77 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | $556.00 | $333.60 | $7.82 | $63.83 | $71.77 |
| Driscoll Childrens Hospital | Corpus Christi | TX | 2 | $775.50 | $155.10 | $165.82 | $582.91 | $1,000.00 |
| College Station Medical Center | College Station | TX | 2 | $385.00 | $134.75 | $45.00 | $56.50 | $327.25 |
| St. Joseph Regional Health Center | Bryan | TX | 2 | $385.00 | $134.75 | $45.00 | $56.50 | $327.25 |
| Grimes St. Joseph Health Center | Navasota | TX | 2 | $385.00 | $134.75 | $45.00 | $56.50 | $327.25 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $52.15 | $52.15 | $52.15 |
| Clay County Memorial Hospital | Henrietta | TX | 5 | $212.00 | $148.00 | $28.00 | $42.00 | $68.00 |
| Dimmit Regional Hospital District | Carrizo Springs | TX | 3 | $345.00 | $207.00 | $131.00 | $315.50 | $331.00 |
| River Crest Hospital | San Angelo | TX | 11 | $773.00 | $386.50 | $48.79 | $280.80 | $687.97 |
| San Angelo Community Medical Center | San Angelo | TX | 11 | $773.00 | $386.50 | $48.79 | $280.80 | $687.97 |
| Shannon Medical Center | San Angelo | TX | 11 | $773.00 | $386.50 | $48.79 | $280.80 | $687.97 |
| Big Spring State Hospital | Big Springs | TX | 11 | $773.00 | $386.50 | $48.79 | $280.80 | $687.97 |
| St Lukes Health Memorial San August | San Augustine | TX | 7 | $437.00 | $152.95 | $53.06 | $250.39 | $393.30 |
| St. Lukes Patients Medical Center | Pasadena | TX | 6 | $382.00 | $133.70 | $73.18 | $245.15 | $324.70 |
| Burleson St. Joseph Health Center | Caldwell | TX | 6 | $385.00 | $134.75 | $45.00 | $238.70 | $346.50 |
| Madison St. Joseph Health Center | Madisonville | TX | 5 | $385.00 | $134.75 | $45.00 | $231.00 | $346.50 |
| Childrens Medical Center Of Plano | Plano | TX | 31 | $309.00 | $231.75 | $50.00 | $216.30 | $299.73 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 7 | $437.00 | $152.95 | $36.49 | $183.35 | $393.30 |
| Rice Medical Center | Eagle Lake | TX | 19 | $630.30 | $441.21 | $1.00 | $182.60 | $630.30 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 10 | $382.00 | $133.70 | $46.32 | $171.90 | $324.70 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 9 | $382.00 | $133.70 | $72.23 | $165.68 | $324.70 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 9 | $382.00 | $133.70 | $72.23 | $165.68 | $324.70 |
| St Lukes Hospital At The Vintage | Houston | TX | 9 | $382.00 | $133.70 | $72.23 | $165.68 | $324.70 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 9 | $382.00 | $133.70 | $72.23 | $165.68 | $324.70 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | $437.00 | $152.95 | $43.14 | $162.41 | $393.30 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $303.00 | $242.40 | $32.20 | $149.10 | $242.40 |
| Brazosport Regional Health System | Lake Jackson | TX | 2 | $375.00 | $131.25 | $108.24 | $145.71 | $187.50 |
| Methodist Hospital For Surgery | Addison | TX | 32 | $422.00 | $253.20 | $61.39 | $130.81 | $141.28 |
| Heritage Park Surgical Hospital | Sherman | TX | 1 | $89.00 | $53.40 | $128.82 | $128.82 | $128.82 |
| Mccamey County Hospital District | Mccamey | TX | 14 | $141.00 | $141.00 | $85.00 | $124.00 | $141.00 |
| Crane County Hospital District | Crane | TX | 2 | $242.00 | $169.00 | $84.00 | $123.50 | $218.00 |
| Hansford County Hospital District | Spearman | TX | 5 | $183.00 | $137.00 | $70.00 | $116.50 | $192.00 |
| Golden Plains Community Hospital | Borger | TX | 6 | $298.00 | $208.60 | $21.34 | $112.77 | $248.48 |
| North Texas Medical Center | Gainsville | TX | 9 | $182.00 | $46.00 | $52.00 | $109.00 | $167.00 |
| Limestone Medical Center | Groesbeck | TX | 8 | $318.15 | $190.89 | $23.94 | $104.37 | $254.52 |
| St Joseph Medical Center | Houston | TX | 0 | $744.03 | $744.03 | — | — | — |
| The Medical Ctr Of Southeast Texas | Port Arthur | TX | 0 | $549.60 | $549.60 | — | — | — |
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.