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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in TX

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Hospitals
50
Min
$54.50
Median
$211.89
Max
$7,584.00
Range multiplier
139.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield42205$37.20$171.29$8,427.00226.5×
UnitedHealthcare3077$12.21$131.54$348.7528.6×
Aetna2377$28.75$181.69$506.8817.6×
Humana1639$36.83$263.08$411.2011.2×
Cigna1835$23.00$143.00$1,451.0063.1×
Medicaid1122$1.00$74.57$704.00704.0×
Anthem BCBS222$74.57$105.54$105.541.4×
Multiplan1721$200.00$324.75$418.502.1×
First Health1217$214.00$263.25$376.801.8×
healthsmart715$41.00$312.39$400.359.8×
commercial | galaxy | all plans912$368.05$388.78$462.601.3×
commercial | phcs | all plans58$307.13$346.95$395.251.3×
assurant health48$231.66$231.66$231.661.0×
web tpa48$157.95$157.95$157.951.0×
galaxy health network37$61.38$80.00$633.6010.3×
wellmed27$28.75$65.00$248.488.6×
superior health plan36$89.00$117.48$198.002.2×
scott & white56$105.30$105.30$334.413.2×
commercial | nppn | all plans55$346.40$346.40$346.401.0×
Medicare15$90.25$137.35$138.661.5×
commercial | usa health network | all plans55$368.05$368.05$368.051.0×
commercial | healthsmart | ppo44$303.10$303.10$303.101.0×
txp optum health (transplant)14$249.63$292.02$353.251.4×
accountable health plans of america14$57.97$148.67$598.4010.3×
patoka valley tier 224$105.54$105.54$105.541.0×
private healthcare systems14$54.56$141.63$563.2010.3×
great west healthcare of texas14$60.02$153.92$619.5210.3×
choicecare network ppo, pos, med adv14$54.56$139.92$563.2010.3×
city of san angelo44$48.79$48.79$48.791.0×
mhs care connect24$74.57$74.57$74.571.0×
choice one inc ppo14$54.56$139.92$563.2010.3×
Medicare Advantage24$36.83$67.30$131.543.6×
health industry trust and welfare plan14$61.38$157.41$633.6010.3×
choice one inc epo/pos14$49.10$125.93$506.8810.3×
medavant healthcare solutions14$54.56$139.92$563.2010.3×
patoka valley tier 124$105.54$105.54$105.541.0×
proamerica ppo14$57.97$148.67$598.4010.3×
medcorp southwest14$57.97$150.37$598.4010.3×
pphp13$57.46$79.82$134.172.3×
superior13$68.20$281.60$704.0010.3×
tml intergovernmental employee benefits13$57.97$239.36$598.4010.3×
commercial | healthsmart | all plans22$303.10$303.10$303.101.0×
prime health services12$709.00$826.00$943.001.3×
health partners open network22$129.20$129.20$129.201.0×
commercial | firstcare | all plans22$279.00$279.00$279.001.0×
phcs12$353.25$353.25$353.251.0×
galaxy health12$456.87$456.87$456.871.0×
muti-plan12$41.00$47.00$53.001.3×
friday health insurance company12$1,417.00$1,651.50$1,886.001.3×
methodist12$268.23$268.23$268.231.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Seton BastropBastropTX7$667.00$400.20$12.21$96.38$105.54
Ascension Seton Shoal CreekAustinTX7$667.00$400.20$12.21$96.38$105.54
Baylor County Hospital DistrictSeymourTX9$363.00$254.10$47.68$80.00$263.08
Acuity Hospital Of South TexasSan AntonioTX1$76.78$76.78$76.78
Baylor Orthopedic And Spine HospitalArlingtonTX1$3,986.00$7,584.00$8,427.00
Crescent Medical Center LancasterLancasterTX5$1,451.00$943.00$218.00$681.00$1,886.00
Driscoll Childrens HospitalCorpus ChristiTX2$1,032.90$206.58$165.82$582.91$1,000.00
College Station Medical CenterCollege StationTX2$465.00$162.75$45.00$56.50$395.25
Grimes St. Joseph Health CenterNavasotaTX2$465.00$162.75$45.00$56.50$395.25
St. Joseph Regional Health CenterBryanTX2$465.00$162.75$45.00$56.50$395.25
Clay County Memorial HospitalHenriettaTX5$265.00$186.00$41.00$54.50$85.00
Childrens Medical Center Of PlanoPlanoTX31$471.00$353.25$50.00$329.70$456.87
St Lukes Health Memorial San AugustSan AugustineTX7$514.00$179.90$47.00$325.53$462.60
Chi St Lukes Health Mem LivingstonLivingstonTX6$514.00$179.90$47.00$306.90$462.60
Chi St Lukes Health Memorial LufkinLufkinTX7$514.00$179.90$47.00$306.90$462.60
Burleson St. Joseph Health CenterCaldwellTX6$465.00$162.75$45.00$288.30$418.50
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$490.00$294.00$114.00$288.00$470.00
Madison St. Joseph Health CenterMadisonvilleTX5$465.00$162.75$45.00$279.00$418.50
Shannon Medical CenterSan AngeloTX11$351.00$175.50$48.79$263.25$312.39
San Angelo Community Medical CenterSan AngeloTX11$351.00$175.50$48.79$263.25$312.39
Big Spring State HospitalBig SpringsTX11$351.00$175.50$48.79$263.25$312.39
River Crest HospitalSan AngeloTX11$351.00$175.50$48.79$263.25$312.39
St. Lukes Patients Medical CenterPasadenaTX6$433.00$151.55$112.81$255.50$368.05
College Station HospitalCollege StationTX1$227.23$229.63$276.83
Hillcrest Baptist Medical CenterWacoTX1$227.23$228.43$276.83
Scott & White Hospital BrenhamBrenhamTX1$227.23$228.43$276.83
Scott And White Memorial HospitalTempleTX2$97.17$227.23$276.83
North Texas Medical CenterGainsvilleTX9$357.00$89.00$80.00$214.00$328.00
St. Lukes Sugar Land HospitalSugar LandTX9$433.00$151.55$98.00$211.89$368.05
St Lukes Hospital At The VintageHoustonTX9$433.00$151.55$98.00$211.89$368.05
St. Lukes The Woodlands HospitalThe WoodlandsTX9$433.00$151.55$98.00$211.89$368.05
St. Lukes Lakeside HospitalThe WoodlandsTX9$433.00$151.55$98.00$211.89$368.05
Brazosport Regional Health SystemLake JacksonTX2$433.00$151.55$165.71$209.87$223.08
Chi St Lukes Health Baylor Med CtrHoustonTX10$433.00$151.55$70.91$194.85$368.05
Falls Community Hospital And ClinicMarlinTX6$311.00$248.80$47.60$183.40$360.05
Heritage Park Surgical HospitalShermanTX1$125.00$75.00$182.65$182.65$182.65
Mccamey County Hospital DistrictMccameyTX14$200.00$200.00$120.00$176.00$200.00
Rice Medical CenterEagle LakeTX23$704.00$492.80$1.00$153.58$704.00
Golden Plains Community HospitalBorgerTX6$357.00$249.90$23.00$139.20$248.48
Methodist Hospital For SurgeryAddisonTX32$642.00$385.20$90.25$137.35$168.70
Wilson N Jones Regional Medical CtrShermanTX8$240.00$192.00$88.83$137.30$184.05
Trinity Regional Hospital SachseSachseTX6$240.00$192.00$88.83$137.30$184.05
Limestone Medical CenterGroesbeckTX8$453.60$272.16$47.68$135.98$362.88
Eastland Memorial HospitalEastlandTX3$182.00$91.00$113.00$130.50$164.00
Crane County Hospital DistrictCraneTX2$199.00$139.00$121.00$124.50$179.00
Hansford County Hospital DistrictSpearmanTX5$137.00$103.00$96.00$123.00$144.00
Muleshoe Area Medical CenterMuleshoeTX4$150.00$90.00$59.00$120.00$150.00
The Medical Ctr Of Southeast TexasPort ArthurTX0$753.78$753.78
St Joseph Medical CenterHoustonTX0$981.00$981.00
Yoakum County HospitalDenver CityTX0$461.06$461.06

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.