▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in TX
Hospitals
45
Min
$42
Median
$149.1
Max
$7,584
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 | 194.9× |
| UnitedHealthcare | 30 | 89 | $7.82 | $130.81 | $602.94 | 77.1× |
| Aetna | 23 | 82 | $23.94 | $150.8 | $510.18 | 21.3× |
| Humana | 16 | 49 | $43.24 | $248.48 | $618.4 | 14.3× |
| Cigna | 18 | 38 | $21.34 | $131.01 | $1,270 | 59.5× |
| First Health | 12 | 25 | $109 | $263.25 | $579.75 | 5.3× |
| healthsmart | 7 | 24 | $28 | $312.39 | $687.97 | 24.6× |
| Multiplan | 17 | 24 | $57.4 | $286.5 | $346.5 | 6.0× |
| Anthem BCBS | 2 | 22 | $50.43 | $71.77 | $71.77 | 1.4× |
| Medicaid | 11 | 21 | $1 | $50.43 | $630.3 | 630.3× |
| web tpa | 4 | 16 | $157.95 | $252.9 | $347.85 | 2.2× |
| assurant health | 4 | 16 | $231.66 | $370.92 | $510.18 | 2.2× |
| commercial | galaxy | all plans | 9 | 15 | $73.8 | $324.7 | $393.3 | 5.3× |
| commercial | phcs | all plans | 5 | 11 | $55.35 | $261.23 | $327.25 | 5.9× |
| scott & white | 5 | 10 | $105.3 | $219.39 | $231.9 | 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 | $80.83 | $140 | 2.4× |
| commercial | nppn | all plans | 5 | 5 | $305.6 | $305.6 | $305.6 | 1.0× |
| galaxy health network | 3 | 5 | $80 | $127 | $567.27 | 7.1× |
| Medicare | 1 | 5 | $61.39 | $137.35 | $138.66 | 2.3× |
| commercial | usa health network | all plans | 5 | 5 | $324.7 | $324.7 | $324.7 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $71.77 | $71.77 | $71.77 | 1.0× |
| commercial | healthsmart | ppo | 4 | 4 | $267.4 | $267.4 | $267.4 | 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 | $44.1 | $76.09 | $94.11 | 2.1× |
| Medicare Advantage | 1 | 3 | $43.24 | $74.6 | $92.26 | 2.1× |
| phcs | 1 | 2 | $231.75 | $231.75 | $231.75 | 1.0× |
| commercial | healthsmart | all plans | 2 | 2 | $267.4 | $267.4 | $267.4 | 1.0× |
| commercial | health first | all plans | 1 | 2 | $180 | $183.75 | $187.5 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $231 | $231 | $231 | 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 | $35 | $42 | 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 | $134.5 | $174 | 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 | $148.5 | $192 | 1.8× |
| 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 |
|---|---|---|---|---|---|---|---|---|
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 8 | $201 | $160.8 | $60.36 | $93.2 | $124.66 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 6 | $201 | $160.8 | $60.36 | $93.2 | $124.66 |
| EASTLAND MEMORIAL HOSPITAL | EASTLAND | TX | 3 | $130 | $65 | $81 | $93 | $117 |
| MULESHOE AREA MEDICAL CENTER | MULESHOE | TX | 4 | $100 | $60 | $39 | $80 | $100 |
| BAYLOR COUNTY HOSPITAL DISTRICT | SEYMOUR | TX | 9 | $197 | $137.9 | $23.94 | $80 | $263.08 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 1 | — | — | $3,986 | $7,584 | $8,427 |
| CRESCENT MEDICAL CENTER LANCASTER | LANCASTER | TX | 5 | $1,270 | $826 | $254 | $635 | $1,651 |
| ASCENSION SETON SHOAL CREEK | AUSTIN | TX | 7 | $556 | $333.6 | $7.82 | $63.83 | $71.77 |
| ASCENSION SETON BASTROP | BASTROP | TX | 7 | $556 | $333.6 | $7.82 | $63.83 | $71.77 |
| DRISCOLL CHILDRENS HOSPITAL | CORPUS CHRISTI | TX | 2 | $775.5 | $155.1 | $165.82 | $582.91 | $1,000 |
| COLLEGE STATION MEDICAL CENTER | COLLEGE STATION | TX | 2 | $385 | $134.75 | $45 | $56.5 | $327.25 |
| ST. JOSEPH REGIONAL HEALTH CENTER | BRYAN | TX | 2 | $385 | $134.75 | $45 | $56.5 | $327.25 |
| GRIMES ST. JOSEPH HEALTH CENTER | NAVASOTA | TX | 2 | $385 | $134.75 | $45 | $56.5 | $327.25 |
| SAN ANTONIO-AMG SPECIALTY HOSPITAL | SAN ANTONIO | TX | 1 | — | — | $52.15 | $52.15 | $52.15 |
| CLAY COUNTY MEMORIAL HOSPITAL | HENRIETTA | TX | 5 | $212 | $148 | $28 | $42 | $68 |
| DIMMIT REGIONAL HOSPITAL DISTRICT | CARRIZO SPRINGS | TX | 3 | $345 | $207 | $131 | $315.5 | $331 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 11 | $773 | $386.5 | $48.79 | $280.8 | $687.97 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 11 | $773 | $386.5 | $48.79 | $280.8 | $687.97 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 11 | $773 | $386.5 | $48.79 | $280.8 | $687.97 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 11 | $773 | $386.5 | $48.79 | $280.8 | $687.97 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 7 | $437 | $152.95 | $53.06 | $250.39 | $393.3 |
| ST. LUKES PATIENTS MEDICAL CENTER | PASADENA | TX | 6 | $382 | $133.7 | $73.18 | $245.15 | $324.7 |
| BURLESON ST. JOSEPH HEALTH CENTER | CALDWELL | TX | 6 | $385 | $134.75 | $45 | $238.7 | $346.5 |
| MADISON ST. JOSEPH HEALTH CENTER | MADISONVILLE | TX | 5 | $385 | $134.75 | $45 | $231 | $346.5 |
| CHILDRENS MEDICAL CENTER OF PLANO | PLANO | TX | 31 | $309 | $231.75 | $50 | $216.3 | $299.73 |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | LUFKIN | TX | 7 | $437 | $152.95 | $36.49 | $183.35 | $393.3 |
| RICE MEDICAL CENTER | EAGLE LAKE | TX | 19 | $630.3 | $441.21 | $1 | $182.6 | $630.3 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 10 | $382 | $133.7 | $46.32 | $171.9 | $324.7 |
| ST. LUKES THE WOODLANDS HOSPITAL | THE WOODLANDS | TX | 9 | $382 | $133.7 | $72.23 | $165.68 | $324.7 |
| ST. LUKES SUGAR LAND HOSPITAL | SUGAR LAND | TX | 9 | $382 | $133.7 | $72.23 | $165.68 | $324.7 |
| ST LUKES HOSPITAL AT THE VINTAGE | HOUSTON | TX | 9 | $382 | $133.7 | $72.23 | $165.68 | $324.7 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 9 | $382 | $133.7 | $72.23 | $165.68 | $324.7 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 6 | $437 | $152.95 | $43.14 | $162.41 | $393.3 |
| FALLS COMMUNITY HOSPITAL AND CLINIC | MARLIN | TX | 6 | $303 | $242.4 | $32.2 | $149.1 | $242.4 |
| BRAZOSPORT REGIONAL HEALTH SYSTEM | LAKE JACKSON | TX | 2 | $375 | $131.25 | $108.24 | $145.71 | $187.5 |
| METHODIST HOSPITAL FOR SURGERY | ADDISON | TX | 32 | $422 | $253.2 | $61.39 | $130.81 | $141.28 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 1 | $89 | $53.4 | $128.82 | $128.82 | $128.82 |
| MCCAMEY COUNTY HOSPITAL DISTRICT | MCCAMEY | TX | 14 | $141 | $141 | $85 | $124 | $141 |
| CRANE COUNTY HOSPITAL DISTRICT | CRANE | TX | 2 | $242 | $169 | $84 | $123.5 | $218 |
| HANSFORD COUNTY HOSPITAL DISTRICT | SPEARMAN | TX | 5 | $183 | $137 | $70 | $116.5 | $192 |
| GOLDEN PLAINS COMMUNITY HOSPITAL | BORGER | TX | 6 | $298 | $208.6 | $21.34 | $112.77 | $248.48 |
| NORTH TEXAS MEDICAL CENTER | GAINSVILLE | TX | 9 | $182 | $46 | $52 | $109 | $167 |
| 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 | $549.6 | $549.6 | — | — | — |
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.