▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in TX
Hospitals
23
Min
$47.5
Median
$135.5
Max
$7,584
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 | $245.4 | $8,427 | 187.3× |
| Aetna | 11 | 27 | $50 | $155 | $334 | 6.7× |
| UnitedHealthcare | 10 | 26 | $15.87 | $113.35 | $230 | 14.5× |
| Anthem BCBS | 2 | 22 | $71.02 | $97.63 | $97.63 | 1.4× |
| Humana | 7 | 12 | $65 | $92.56 | $235.46 | 3.6× |
| Medicaid | 5 | 12 | $71.02 | $71.02 | $175.81 | 2.5× |
| Cigna | 9 | 11 | $40.4 | $100 | $314 | 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 | $80 | $354 | 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 | $284 | $393 | 2.2× |
| pphp | 1 | 2 | $91.62 | $92.25 | $92.87 | 1.0× |
| superior health plan | 1 | 2 | $278 | $333.5 | $389 | 1.4× |
| wellmed | 2 | 2 | $65 | $79.54 | $94.07 | 1.4× |
| healthcare highways | 1 | 1 | $150 | $150 | $150 | 1.0× |
| firstcare | 1 | 1 | $354 | $354 | $354 | 1.0× |
| First Health | 1 | 1 | $150 | $150 | $150 | 1.0× |
| three rivers provider network | 1 | 1 | $334 | $334 | $334 | 1.0× |
| muti-plan | 1 | 1 | $40 | $40 | $40 | 1.0× |
| oklahoma complete health | 1 | 1 | $71.36 | $71.36 | $71.36 | 1.0× |
| choicecare | 1 | 1 | $314 | $314 | $314 | 1.0× |
| capstar | 1 | 1 | $389 | $389 | $389 | 1.0× |
| amerivantage | 1 | 1 | $74.73 | $74.73 | $74.73 | 1.0× |
| prime health | 1 | 1 | $225 | $225 | $225 | 1.0× |
| private health care systems (phcs) | 1 | 1 | $354 | $354 | $354 | 1.0× |
| provider select | 1 | 1 | $213 | $213 | $213 | 1.0× |
| scott and white | 1 | 1 | $96.47 | $96.47 | $96.47 | 1.0× |
| scott and white health plan | 1 | 1 | $354 | $354 | $354 | 1.0× |
| scott and whte | 1 | 1 | $59 | $59 | $59 | 1.0× |
| superior health | 1 | 1 | $100 | $100 | $100 | 1.0× |
| wellpoint | 1 | 1 | $259 | $259 | $259 | 1.0× |
| healthsmart | 1 | 1 | $40 | $40 | $40 | 1.0× |
| healthsmart preferred network | 1 | 1 | $354 | $354 | $354 | 1.0× |
| healthchoice | 1 | 1 | $120.4 | $120.4 | $120.4 | 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 | $161.6 | $40.4 | $96.47 | $463.82 |
| BAYLOR COUNTY HOSPITAL DISTRICT | SEYMOUR | TX | 9 | $240 | $168 | $65 | $80 | $100 |
| SAN ANTONIO-AMG SPECIALTY HOSPITAL | SAN ANTONIO | TX | 1 | — | — | $77.17 | $77.17 | $77.17 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 1 | — | — | $3,986 | $7,584 | $8,427 |
| CHILDRENS MEDICAL CENTER OF PLANO | PLANO | TX | 4 | — | — | $71.36 | $71.36 | $71.36 |
| CLAY COUNTY MEMORIAL HOSPITAL | HENRIETTA | TX | 5 | $198 | $139 | $40 | $50 | $63 |
| EASTLAND MEMORIAL HOSPITAL | EASTLAND | TX | 3 | $66 | $33 | $41 | $47.5 | $59 |
| 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 | $393 | $236 | $346 | $393 |
| GOLDEN PLAINS COMMUNITY HOSPITAL | BORGER | TX | 6 | $409 | $286.3 | $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 | $63 | $100 | $150 | $230 |
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 8 | $227 | $181.6 | $74.73 | $135.5 | $226.16 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 6 | $227 | $181.6 | $74.73 | $135.5 | $226.16 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 1 | — | — | $120.4 | $120.4 | $120.4 |
| 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 | $205 | — | — | — |
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.