▸ Compare · PriceTransparency
Initial hospital care, high complexity
CPT 99223 · negotiated-rate distribution across hospitals in TX
Hospitals
23
Min
$80.00
Median
$284.90
Max
$7,584.00
Range multiplier
94.8×
By payer (39 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 15 | 45 | $80.00 | $491.40 | $8,427.00 | 105.3× |
| Aetna | 11 | 27 | $65.00 | $310.00 | $584.00 | 9.0× |
| UnitedHealthcare | 10 | 26 | $32.08 | $229.13 | $460.00 | 14.3× |
| Anthem BCBS | 2 | 22 | $142.57 | $205.76 | $205.76 | 1.4× |
| Humana | 7 | 12 | $65.00 | $185.39 | $471.71 | 7.3× |
| Medicaid | 5 | 12 | $100.00 | $142.57 | $352.21 | 3.5× |
| Cigna | 9 | 11 | $80.00 | $200.00 | $550.00 | 6.9× |
| patoka valley tier 1 | 2 | 4 | $205.76 | $205.76 | $205.76 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $205.76 | $205.76 | $205.76 | 1.0× |
| mhs care connect | 2 | 4 | $142.57 | $142.57 | $142.57 | 1.0× |
| galaxy health network | 2 | 3 | $80.00 | $80.00 | $618.00 | 7.7× |
| Medicare Advantage | 1 | 2 | $167.17 | $174.79 | $182.40 | 1.1× |
| encore exclusive | 2 | 2 | $205.76 | $205.76 | $205.76 | 1.0× |
| health partners open network | 2 | 2 | $336.33 | $336.33 | $336.33 | 1.0× |
| Multiplan | 2 | 2 | $350.00 | $518.50 | $687.00 | 2.0× |
| pphp | 1 | 2 | $170.51 | $178.28 | $186.04 | 1.1× |
| superior health plan | 1 | 2 | $485.00 | $582.50 | $680.00 | 1.4× |
| wellmed | 2 | 2 | $65.00 | $126.69 | $188.37 | 2.9× |
| healthcare highways | 1 | 1 | $300.00 | $300.00 | $300.00 | 1.0× |
| firstcare | 1 | 1 | $618.00 | $618.00 | $618.00 | 1.0× |
| First Health | 1 | 1 | $300.00 | $300.00 | $300.00 | 1.0× |
| three rivers provider network | 1 | 1 | $584.00 | $584.00 | $584.00 | 1.0× |
| muti-plan | 1 | 1 | $79.00 | $79.00 | $79.00 | 1.0× |
| oklahoma complete health | 1 | 1 | $150.40 | $150.40 | $150.40 | 1.0× |
| choicecare | 1 | 1 | $550.00 | $550.00 | $550.00 | 1.0× |
| capstar | 1 | 1 | $680.00 | $680.00 | $680.00 | 1.0× |
| amerivantage | 1 | 1 | $158.40 | $158.40 | $158.40 | 1.0× |
| prime health | 1 | 1 | $450.00 | $450.00 | $450.00 | 1.0× |
| private health care systems (phcs) | 1 | 1 | $618.00 | $618.00 | $618.00 | 1.0× |
| provider select | 1 | 1 | $425.00 | $425.00 | $425.00 | 1.0× |
| scott and white | 1 | 1 | $191.66 | $191.66 | $191.66 | 1.0× |
| scott and white health plan | 1 | 1 | $618.00 | $618.00 | $618.00 | 1.0× |
| scott and whte | 1 | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| superior health | 1 | 1 | $100.00 | $100.00 | $100.00 | 1.0× |
| wellpoint | 1 | 1 | $453.00 | $453.00 | $453.00 | 1.0× |
| healthsmart | 1 | 1 | $79.00 | $79.00 | $79.00 | 1.0× |
| healthsmart preferred network | 1 | 1 | $618.00 | $618.00 | $618.00 | 1.0× |
| healthchoice | 1 | 1 | $252.19 | $252.19 | $252.19 | 1.0× |
| iowa health | 1 | 1 | $166.32 | $166.32 | $166.32 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Clay County Memorial Hospital | Henrietta | TX | 5 | $397.00 | $278.00 | $79.00 | $99.00 | $127.00 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $133.00 | $67.00 | $82.00 | $95.00 | $120.00 |
| Baylor County Hospital District | Seymour | TX | 9 | $716.00 | $501.20 | $65.00 | $80.00 | $100.00 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 1 | — | — | $3,986.00 | $7,584.00 | $8,427.00 |
| Big Spring State Hospital | Big Springs | TX | 1 | — | — | $686.10 | $721.02 | $721.02 |
| River Crest Hospital | San Angelo | TX | 1 | — | — | $686.10 | $721.02 | $721.02 |
| Shannon Medical Center | San Angelo | TX | 1 | — | — | $686.10 | $721.02 | $721.02 |
| San Angelo Community Medical Center | San Angelo | TX | 1 | — | — | $686.10 | $721.02 | $721.02 |
| Mccamey County Hospital District | Mccamey | TX | 14 | $687.00 | $687.00 | $412.00 | $604.50 | $687.00 |
| Golden Plains Community Hospital | Borger | TX | 6 | $819.00 | $573.30 | $150.70 | $412.89 | $556.92 |
| Limestone Medical Center | Groesbeck | TX | 8 | $628.95 | $377.37 | $167.17 | $356.25 | $503.16 |
| North Texas Medical Center | Gainsville | TX | 9 | $500.00 | $125.00 | $200.00 | $300.00 | $460.00 |
| Trinity Regional Hospital Sachse | Sachse | TX | 6 | $453.00 | $362.40 | $158.40 | $284.90 | $452.74 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $453.00 | $362.40 | $158.40 | $284.90 | $452.74 |
| Heritage Park Surgical Hospital | Sherman | TX | 1 | — | — | $252.19 | $252.19 | $252.19 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | — | — | $32.08 | $205.76 | $229.13 |
| Ascension Seton Shoal Creek | Austin | TX | 7 | — | — | $32.08 | $205.76 | $229.13 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $424.00 | $339.20 | $84.80 | $191.66 | $924.39 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $153.33 | $153.33 | $153.33 |
| Childrens Medical Center Of Plano | Plano | TX | 4 | — | — | $150.40 | $150.40 | $150.40 |
| Haskell Memorial Hospital | Haskell | TX | 0 | $649.44 | $649.44 | — | — | — |
| Yoakum County Hospital | Denver City | TX | 0 | $550.62 | $550.62 | — | — | — |
| St Joseph Medical Center | Houston | TX | 0 | $173.84 | $173.84 | — | — | — |
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.