▸ Compare · PriceTransparency
Office visit, established patient, 40-54 min
CPT 99215 · negotiated-rate distribution across hospitals in TX
Hospitals
45
Min
$56.50
Median
$256.54
Max
$7,584.00
Range multiplier
134.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 38 | 174 | $37.20 | $210.58 | $8,427.00 | 226.5× |
| UnitedHealthcare | 30 | 81 | $17.49 | $242.00 | $1,011.27 | 57.8× |
| Aetna | 23 | 75 | $36.83 | $232.00 | $1,203.51 | 32.7× |
| Humana | 16 | 42 | $36.83 | $390.21 | $1,250.40 | 34.0× |
| Cigna | 18 | 33 | $36.49 | $213.63 | $1,300.00 | 35.6× |
| Multiplan | 17 | 27 | $261.00 | $434.35 | $1,094.10 | 4.2× |
| Medicaid | 11 | 23 | $1.00 | $155.27 | $704.00 | 704.0× |
| Anthem BCBS | 2 | 22 | $100.08 | $141.38 | $141.38 | 1.4× |
| commercial | galaxy | all plans | 9 | 18 | $428.40 | $544.95 | $1,406.70 | 3.3× |
| First Health | 12 | 17 | $224.00 | $439.50 | $694.40 | 3.1× |
| healthsmart | 7 | 15 | $56.00 | $521.54 | $737.80 | 13.2× |
| commercial | phcs | all plans | 5 | 14 | $346.28 | $471.15 | $1,055.03 | 3.0× |
| web tpa | 4 | 8 | $263.70 | $263.70 | $263.70 | 1.0× |
| assurant health | 4 | 8 | $386.76 | $386.76 | $386.76 | 1.0× |
| galaxy health network | 3 | 7 | $61.38 | $80.00 | $633.60 | 10.3× |
| wellmed | 2 | 6 | $65.00 | $71.48 | $248.48 | 3.8× |
| scott & white | 5 | 6 | $175.80 | $175.80 | $616.28 | 3.5× |
| superior health plan | 3 | 6 | $133.00 | $183.09 | $270.00 | 2.0× |
| Medicare | 1 | 5 | $130.81 | $137.35 | $138.66 | 1.1× |
| commercial | nppn | all plans | 5 | 5 | $403.20 | $403.20 | $403.20 | 1.0× |
| commercial | usa health network | all plans | 5 | 5 | $428.40 | $428.40 | $428.40 | 1.0× |
| commercial | healthsmart | ppo | 4 | 4 | $352.80 | $352.80 | $352.80 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $141.38 | $141.38 | $141.38 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $141.38 | $141.38 | $141.38 | 1.0× |
| accountable health plans of america | 1 | 4 | $57.97 | $198.69 | $598.40 | 10.3× |
| private healthcare systems | 1 | 4 | $54.56 | $188.71 | $563.20 | 10.3× |
| great west healthcare of texas | 1 | 4 | $60.02 | $205.70 | $619.52 | 10.3× |
| city of san angelo | 4 | 4 | $81.45 | $81.45 | $81.45 | 1.0× |
| mhs care connect | 2 | 4 | $100.08 | $100.08 | $100.08 | 1.0× |
| choicecare network ppo, pos, med adv | 1 | 4 | $54.56 | $187.00 | $563.20 | 10.3× |
| choice one inc ppo | 1 | 4 | $54.56 | $187.00 | $563.20 | 10.3× |
| choice one inc epo/pos | 1 | 4 | $49.10 | $168.30 | $506.88 | 10.3× |
| medavant healthcare solutions | 1 | 4 | $54.56 | $187.00 | $563.20 | 10.3× |
| health industry trust and welfare plan | 1 | 4 | $61.38 | $210.38 | $633.60 | 10.3× |
| proamerica ppo | 1 | 4 | $57.97 | $198.69 | $598.40 | 10.3× |
| medcorp southwest | 1 | 4 | $57.97 | $200.40 | $598.40 | 10.3× |
| txp optum health (transplant) | 1 | 4 | $460.04 | $538.16 | $651.00 | 1.4× |
| Medicare Advantage | 2 | 3 | $36.83 | $130.02 | $150.73 | 4.1× |
| tml intergovernmental employee benefits | 1 | 3 | $57.97 | $339.41 | $598.40 | 10.3× |
| superior | 1 | 3 | $68.20 | $399.30 | $704.00 | 10.3× |
| phcs | 1 | 2 | $651.00 | $651.00 | $651.00 | 1.0× |
| pphp | 1 | 2 | $132.62 | $143.18 | $153.74 | 1.2× |
| prime health services | 1 | 2 | $709.00 | $777.00 | $845.00 | 1.2× |
| commercial | healthsmart | all plans | 2 | 2 | $352.80 | $352.80 | $352.80 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $306.60 | $306.60 | $306.60 | 1.0× |
| health partners open network | 2 | 2 | $183.88 | $183.88 | $183.88 | 1.0× |
| oscar | 1 | 2 | $218.00 | $239.00 | $260.00 | 1.2× |
| galaxy health | 1 | 2 | $841.96 | $841.96 | $841.96 | 1.0× |
| Molina | 2 | 2 | $181.73 | $242.77 | $303.80 | 1.7× |
| friday health insurance company | 1 | 2 | $1,417.00 | $1,553.50 | $1,690.00 | 1.2× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Baylor County Hospital District | Seymour | TX | 9 | $464.00 | $324.80 | $65.00 | $80.00 | $263.08 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 1 | — | — | $3,986.00 | $7,584.00 | $8,427.00 |
| Clay County Memorial Hospital | Henrietta | TX | 5 | $292.00 | $204.00 | $56.00 | $71.50 | $93.00 |
| Crescent Medical Center Lancaster | Lancaster | TX | 5 | $1,300.00 | $845.00 | $218.00 | $617.50 | $1,690.00 |
| Childrens Medical Center Of Plano | Plano | TX | 31 | $868.00 | $651.00 | $50.00 | $607.60 | $841.96 |
| Driscoll Childrens Hospital | Corpus Christi | TX | 2 | $1,233.10 | $246.62 | $165.82 | $582.91 | $1,000.00 |
| Grimes St. Joseph Health Center | Navasota | TX | 2 | $511.00 | $178.85 | $45.00 | $56.50 | $434.35 |
| College Station Medical Center | College Station | TX | 2 | $511.00 | $178.85 | $45.00 | $56.50 | $434.35 |
| St. Joseph Regional Health Center | Bryan | TX | 2 | $511.00 | $178.85 | $45.00 | $56.50 | $434.35 |
| St Lukes Health Memorial San August | San Augustine | TX | 7 | $1,563.00 | $547.05 | $47.00 | $523.50 | $1,406.70 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 7 | $1,563.00 | $547.05 | $47.00 | $479.88 | $1,406.70 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | $1,563.00 | $547.05 | $47.00 | $479.88 | $1,406.70 |
| Big Spring State Hospital | Big Springs | TX | 11 | $586.00 | $293.00 | $81.45 | $421.92 | $521.54 |
| San Angelo Community Medical Center | San Angelo | TX | 11 | $586.00 | $293.00 | $81.45 | $421.92 | $521.54 |
| Shannon Medical Center | San Angelo | TX | 11 | $586.00 | $293.00 | $81.45 | $421.92 | $521.54 |
| River Crest Hospital | San Angelo | TX | 11 | $586.00 | $293.00 | $81.45 | $421.92 | $521.54 |
| Dimmit Regional Hospital District | Carrizo Springs | TX | 3 | $684.00 | $410.00 | $152.00 | $384.00 | $657.00 |
| Burleson St. Joseph Health Center | Caldwell | TX | 6 | $511.00 | $178.85 | $45.00 | $316.82 | $459.90 |
| Madison St. Joseph Health Center | Madisonville | TX | 5 | $511.00 | $178.85 | $45.00 | $306.60 | $459.90 |
| St. Lukes Patients Medical Center | Pasadena | TX | 6 | $504.00 | $176.40 | $159.05 | $285.65 | $428.40 |
| Limestone Medical Center | Groesbeck | TX | 8 | $519.75 | $311.85 | $130.02 | $284.07 | $415.80 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 9 | $504.00 | $176.40 | $98.00 | $269.89 | $428.40 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 9 | $504.00 | $176.40 | $98.00 | $269.89 | $428.40 |
| St Lukes Hospital At The Vintage | Houston | TX | 9 | $504.00 | $176.40 | $98.00 | $269.89 | $428.40 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 9 | $504.00 | $176.40 | $98.00 | $269.89 | $428.40 |
| Brazosport Regional Health System | Lake Jackson | TX | 2 | $504.00 | $176.40 | $234.40 | $269.26 | $315.53 |
| Heritage Park Surgical Hospital | Sherman | TX | 1 | $189.00 | $113.40 | $256.54 | $256.54 | $256.54 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 10 | $504.00 | $176.40 | $99.00 | $242.28 | $428.40 |
| Mccamey County Hospital District | Mccamey | TX | 14 | $273.00 | $273.00 | $164.00 | $240.50 | $273.00 |
| North Texas Medical Center | Gainsville | TX | 9 | $373.00 | $93.00 | $113.00 | $224.00 | $343.00 |
| Rice Medical Center | Eagle Lake | TX | 23 | $704.00 | $492.80 | $1.00 | $215.62 | $704.00 |
| Trinity Regional Hospital Sachse | Sachse | TX | 6 | $332.00 | $265.60 | $131.48 | $203.00 | $272.53 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $332.00 | $265.60 | $131.48 | $203.00 | $272.53 |
| Golden Plains Community Hospital | Borger | TX | 6 | $645.00 | $451.50 | $54.83 | $194.35 | $438.60 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $436.00 | $348.80 | $70.00 | $189.00 | $507.60 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $256.00 | $128.00 | $159.00 | $183.00 | $230.00 |
| Muleshoe Area Medical Center | Muleshoe | TX | 4 | $225.00 | $135.00 | $88.00 | $180.00 | $225.00 |
| Crane County Hospital District | Crane | TX | 2 | $254.00 | $178.00 | $155.00 | $157.50 | $229.00 |
| Methodist Hospital For Surgery | Addison | TX | 32 | $735.00 | $441.00 | $123.94 | $137.35 | $250.66 |
| Hansford County Hospital District | Spearman | TX | 5 | $150.00 | $113.00 | $105.00 | $135.00 | $158.00 |
| Ascension Seton Shoal Creek | Austin | TX | 7 | — | — | $17.49 | $133.17 | $141.38 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | — | — | $17.49 | $133.17 | $141.38 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $113.70 | $113.70 | $113.70 |
| St Joseph Medical Center | Houston | TX | 0 | $1,435.30 | $1,435.30 | — | — | — |
| The Medical Ctr Of Southeast Texas | Port Arthur | TX | 0 | $894.90 | $894.90 | — | — | — |
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.