▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in TX
Hospitals
23
Min
$47.50
Median
$135.50
Max
$7,584.00
Range multiplier
159.7×
By payer (39 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 15 | 45 | $45.00 | $245.40 | $8,427.00 | 187.3× |
| Aetna | 11 | 27 | $50.00 | $155.00 | $334.00 | 6.7× |
| UnitedHealthcare | 10 | 26 | $15.87 | $113.35 | $230.00 | 14.5× |
| Anthem BCBS | 2 | 22 | $71.02 | $97.63 | $97.63 | 1.4× |
| Humana | 7 | 12 | $65.00 | $92.56 | $235.46 | 3.6× |
| Medicaid | 5 | 12 | $71.02 | $71.02 | $175.81 | 2.5× |
| Cigna | 9 | 11 | $40.40 | $100.00 | $314.00 | 7.8× |
| patoka valley tier 1 | 2 | 4 | $97.63 | $97.63 | $97.63 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $97.63 | $97.63 | $97.63 | 1.0× |
| mhs care connect | 2 | 4 | $71.02 | $71.02 | $71.02 | 1.0× |
| galaxy health network | 2 | 3 | $80.00 | $80.00 | $354.00 | 4.4× |
| Medicare Advantage | 1 | 2 | $89.83 | $90.44 | $91.05 | 1.0× |
| encore exclusive | 2 | 2 | $97.63 | $97.63 | $97.63 | 1.0× |
| health partners open network | 2 | 2 | $167.73 | $167.73 | $167.73 | 1.0× |
| Multiplan | 2 | 2 | $175.00 | $284.00 | $393.00 | 2.2× |
| pphp | 1 | 2 | $91.62 | $92.25 | $92.87 | 1.0× |
| superior health plan | 1 | 2 | $278.00 | $333.50 | $389.00 | 1.4× |
| wellmed | 2 | 2 | $65.00 | $79.54 | $94.07 | 1.4× |
| healthcare highways | 1 | 1 | $150.00 | $150.00 | $150.00 | 1.0× |
| firstcare | 1 | 1 | $354.00 | $354.00 | $354.00 | 1.0× |
| First Health | 1 | 1 | $150.00 | $150.00 | $150.00 | 1.0× |
| three rivers provider network | 1 | 1 | $334.00 | $334.00 | $334.00 | 1.0× |
| muti-plan | 1 | 1 | $40.00 | $40.00 | $40.00 | 1.0× |
| oklahoma complete health | 1 | 1 | $71.36 | $71.36 | $71.36 | 1.0× |
| choicecare | 1 | 1 | $314.00 | $314.00 | $314.00 | 1.0× |
| capstar | 1 | 1 | $389.00 | $389.00 | $389.00 | 1.0× |
| amerivantage | 1 | 1 | $74.73 | $74.73 | $74.73 | 1.0× |
| prime health | 1 | 1 | $225.00 | $225.00 | $225.00 | 1.0× |
| private health care systems (phcs) | 1 | 1 | $354.00 | $354.00 | $354.00 | 1.0× |
| provider select | 1 | 1 | $213.00 | $213.00 | $213.00 | 1.0× |
| scott and white | 1 | 1 | $96.47 | $96.47 | $96.47 | 1.0× |
| scott and white health plan | 1 | 1 | $354.00 | $354.00 | $354.00 | 1.0× |
| scott and whte | 1 | 1 | $59.00 | $59.00 | $59.00 | 1.0× |
| superior health | 1 | 1 | $100.00 | $100.00 | $100.00 | 1.0× |
| wellpoint | 1 | 1 | $259.00 | $259.00 | $259.00 | 1.0× |
| healthsmart | 1 | 1 | $40.00 | $40.00 | $40.00 | 1.0× |
| healthsmart preferred network | 1 | 1 | $354.00 | $354.00 | $354.00 | 1.0× |
| healthchoice | 1 | 1 | $120.40 | $120.40 | $120.40 | 1.0× |
| iowa health | 1 | 1 | $78.47 | $78.47 | $78.47 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Ascension Seton Shoal Creek | Austin | TX | 7 | — | — | $15.87 | $97.63 | $113.35 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | — | — | $15.87 | $97.63 | $113.35 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $202.00 | $161.60 | $40.40 | $96.47 | $463.82 |
| Baylor County Hospital District | Seymour | TX | 9 | $240.00 | $168.00 | $65.00 | $80.00 | $100.00 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $77.17 | $77.17 | $77.17 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 1 | — | — | $3,986.00 | $7,584.00 | $8,427.00 |
| Childrens Medical Center Of Plano | Plano | TX | 4 | — | — | $71.36 | $71.36 | $71.36 |
| Clay County Memorial Hospital | Henrietta | TX | 5 | $198.00 | $139.00 | $40.00 | $50.00 | $63.00 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $66.00 | $33.00 | $41.00 | $47.50 | $59.00 |
| Big Spring State Hospital | Big Springs | TX | 1 | — | — | $344.25 | $361.78 | $361.78 |
| River Crest Hospital | San Angelo | TX | 1 | — | — | $344.25 | $361.78 | $361.78 |
| San Angelo Community Medical Center | San Angelo | TX | 1 | — | — | $344.25 | $361.78 | $361.78 |
| Shannon Medical Center | San Angelo | TX | 1 | — | — | $344.25 | $361.78 | $361.78 |
| Mccamey County Hospital District | Mccamey | TX | 14 | $393.00 | $393.00 | $236.00 | $346.00 | $393.00 |
| Golden Plains Community Hospital | Borger | TX | 6 | $409.00 | $286.30 | $75.26 | $207.17 | $278.12 |
| Limestone Medical Center | Groesbeck | TX | 8 | $313.95 | $188.37 | $89.83 | $191.43 | $251.16 |
| North Texas Medical Center | Gainsville | TX | 9 | $250.00 | $63.00 | $100.00 | $150.00 | $230.00 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $227.00 | $181.60 | $74.73 | $135.50 | $226.16 |
| Trinity Regional Hospital Sachse | Sachse | TX | 6 | $227.00 | $181.60 | $74.73 | $135.50 | $226.16 |
| Heritage Park Surgical Hospital | Sherman | TX | 1 | — | — | $120.40 | $120.40 | $120.40 |
| Haskell Memorial Hospital | Haskell | TX | 0 | $326.61 | $326.61 | — | — | — |
| Yoakum County Hospital | Denver City | TX | 0 | $255.78 | $255.78 | — | — | — |
| Kingwood Emergency Hospital | Kingwood | TX | 0 | $410.00 | $205.00 | — | — | — |
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.