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CPT 99281 · negotiated-rate distribution across hospitals in TX

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Hospitals
61
Min
$17.01
Median
$116.67
Max
$1,403.00
Range multiplier
82.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield44296$2.39$223.50$8,427.003525.9×
UnitedHealthcare42175$2.27$84.73$2,130.00938.3×
Aetna40134$9.93$205.77$989.6099.7×
Medicaid26117$1.00$51.36$349.68349.7×
Humana2882$9.93$158.73$684.0068.9×
Cigna3181$2.32$105.00$1,651.00711.6×
Multiplan2145$24.50$330.00$1,132.2046.2×
Medicare1037$65.20$74.87$88.651.4×
First Health1225$158.00$278.85$376.502.4×
Anthem BCBS324$14.85$33.30$576.0038.8×
healthsmart723$26.00$314.63$446.7817.2×
commercial | galaxy | all plans921$31.50$205.20$430.2013.7×
commercial | phcs | all plans521$23.63$153.90$1,069.3045.3×
assurant health416$206.58$268.95$331.321.6×
web tpa416$140.85$183.38$225.901.6×
healthcare highways [2210]412$75.25$219.99$349.684.6×
wellmed910$18.63$82.68$102.815.5×
Ambetter99$83.33$141.68$177.762.1×
Molina48$51.36$68.18$137.922.7×
prime health services48$108.33$350.63$637.005.9×
city of san angelo48$43.51$56.65$69.781.6×
commercial | entrust | all plans88$144.40$171.50$191.071.3×
wellpoint77$85.00$111.61$174.002.0×
health partners open network27$19.97$35.89$139.437.0×
superior health plan47$82.00$122.00$260.003.2×
commercial | community health choice | exchange77$73.20$108.98$109.041.5×
medica exchange inspire26$43.56$86.82$136.173.1×
commercial | firstcare | all plans26$247.20$320.40$754.803.1×
scott & white56$290.00$290.00$306.011.1×
tmhp [50160]16$51.36$51.36$51.361.0×
web tpa [2115]46$75.25$349.33$558.007.4×
wellpoint amerigroup [50170]15$51.36$51.36$51.361.0×
commercial | usa health network | all plans55$364.65$364.65$364.651.0×
velocity provider ppo network35$100.00$309.38$309.383.1×
commercial | renaissance | all plans55$52.31$52.34$52.341.0×
commercial | nppn | all plans55$343.20$343.20$343.201.0×
commercial | nxhealth | all plans55$234.65$236.11$236.241.0×
commercial | superior health plan | all plans55$108.98$109.04$109.041.0×
commercial | kelseycare | all plans55$1,240.20$1,240.20$1,240.201.0×
healthscope benefits [2290]45$75.25$133.65$349.684.6×
commercial | harris health | ers55$108.98$109.04$109.041.0×
commercial | kelseycare | exchange55$98.08$98.13$98.131.0×
90 degree benefits55$85.00$206.69$206.692.4×
caprock44$206.69$206.69$206.691.0×
mhs care connect24$14.85$14.85$14.851.0×
galaxy health network34$80.00$158.50$392.044.9×
medica exchange insure24$25.47$61.48$142.105.6×
phcs [1780]34$192.64$382.34$520.802.7×
kempton group44$165.35$165.35$165.351.0×
cook childrens health plan [50177]14$51.36$51.36$51.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Crane County Hospital DistrictCraneTX2$232.00$162.00$31.00$93.50$209.00
Lifecare Spec Hosp Of North TexasDallasTX9$364.00$36.40$91.00$91.00$243.88
Brazosport Regional Health SystemLake JacksonTX11$366.00$128.10$51.36$90.09$322.00
North Texas Medical CenterGainsvilleTX17$263.00$66.00$70.00$89.00$242.00
Methodist Hospital For SurgeryAddisonTX32$524.00$314.40$82.85$88.24$366.00
Baylor County Hospital DistrictSeymourTX11$278.00$194.60$55.00$76.41$335.00
Ut Health East Texas Specialty HospiTylerTX12$301.00$30.10$75.25$75.25$192.64
Falls Community Hospital And ClinicMarlinTX6$1,237.00$989.60$63.00$75.09$989.60
Crosbyton Clinic HospitalCrosbytonTX4$89.00$89.00$17.00$61.50$71.00
Baptist Saint Anthonys HospitalAmarilloTX68$744.00$74.40$230.64$520.80$632.40
Driscoll Childrens HospitalCorpus ChristiTX25$416.50$83.30$51.36$51.36$1,000.00
Wilson N Jones Regional Medical CtrShermanTX12$182.41$145.93$10.30$49.06$160.20
Trinity Regional Hospital SachseSachseTX8$160.20$128.16$10.30$48.56$231.08
Clay County Memorial HospitalHenriettaTX5$258.00$181.00$26.00$47.00$83.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$423.00$254.00$161.00$387.00$406.00
Chi St Lukes Health Memorial LufkinLufkinTX10$478.00$167.30$2.27$36.00$430.20
Chi St Lukes Health Mem LivingstonLivingstonTX11$478.00$167.30$2.27$36.00$430.20
Seton Medical Center Harker HeightsHarker HeightsTX12$742.50$74.25$129.05$348.98$643.01
St Lukes Health Memorial San AugustSan AugustineTX9$478.00$167.30$4.08$34.15$430.20
Warm Springs Rehab Hosp KyleKyleTX8$412.50$412.50$288.75$319.69$371.25
Rice Medical CenterEagle LakeTX19$435.60$304.92$1.00$313.63$435.60
Corpus Christi Specialty HospitalCorpus ChristiTX8$412.50$412.50$288.75$309.38$371.25
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$348.00$208.80$80.89$306.00$2,048.00
Childrens Medical Center Of PlanoPlanoTX31$431.00$323.25$9.93$301.70$418.07
Ascension Seton Shoal CreekAustinTX7$3.65$29.68$33.30
Ascension Seton BastropBastropTX7$3.65$29.68$33.30
Glen Rose Medical CenterGlen RoseTX8$720.00$720.00$118.00$287.00$684.00
Heritage Park Surgical HospitalShermanTX2$217.00$130.20$80.89$261.00$390.00
Madison St. Joseph Health CenterMadisonvilleTX7$1,258.00$440.30$50.43$241.60$1,500.00
Grimes St. Joseph Health CenterNavasotaTX4$1,258.00$440.30$83.06$236.00$1,500.00
Burleson St. Joseph Health CenterCaldwellTX7$1,258.00$440.30$56.37$236.00$1,132.20
Shannon Medical CenterSan AngeloTX21$502.00$251.00$43.51$234.75$446.78
Big Spring State HospitalBig SpringsTX21$502.00$251.00$43.51$234.75$446.78
River Crest HospitalSan AngeloTX21$502.00$251.00$43.51$234.75$446.78
San Angelo Community Medical CenterSan AngeloTX21$502.00$251.00$43.51$234.75$446.78
Mccamey County Hospital DistrictMccameyTX14$263.00$263.00$158.00$231.50$263.00
Hansford County Hospital DistrictSpearmanTX5$223.00$167.00$156.00$201.00$234.00
Crescent Medical Center LancasterLancasterTX12$980.00$637.00$69.00$196.00$11,519
Limestone Medical CenterGroesbeckTX8$330.00$198.00$68.66$185.54$270.00
Acuity Hospital Of South TexasSan AntonioTX1$17.01$17.01$17.01
Muleshoe Area Medical CenterMuleshoeTX4$206.00$124.00$80.00$165.00$206.00
St. Joseph Regional Health CenterBryanTX10$1,258.00$440.30$51.36$144.40$1,500.00
College Station Medical CenterCollege StationTX10$1,258.00$440.30$51.36$144.40$1,500.00
Baylor Orthopedic And Spine HospitalArlingtonTX3$467.00$280.20$202.00$1,403.00$8,427.00
Pam Squared At Corpus ChristiCorpus ChrstiTX24$412.50$412.50$17.01$116.67$350.63
Chi St Lukes Health Baylor Med CtrHoustonTX21$429.00$150.15$30.82$116.00$1,240.20
St. Lukes Patients Medical CenterPasadenaTX12$429.00$150.15$48.79$112.00$973.00
St Lukes Hospital At The VintageHoustonTX21$429.00$150.15$30.82$109.52$1,240.20
St. Lukes Sugar Land HospitalSugar LandTX19$429.00$150.15$30.82$109.52$1,240.20
St. Lukes The Woodlands HospitalThe WoodlandsTX20$429.00$150.15$30.82$109.49$1,240.20
St. Lukes Lakeside HospitalThe WoodlandsTX20$429.00$150.15$30.82$109.04$1,240.20
Golden Plains Community HospitalBorgerTX6$447.00$312.90$14.90$102.81$419.00
St Joseph Medical CenterHoustonTX0$533.81$533.81
Navarro Regional HospitalCorsicanaTX0$621.00$217.35
Laredo Medical CenterLaredoTX0$918.90$321.62
The Medical Ctr Of Southeast TexasPort ArthurTX0$322.59$322.59
Nocona General HospitalNoconaTX0$219.00$27.85
Longview Regional Medical CenterLongviewTX0$452.58$122.20
Haskell Memorial HospitalHaskellTX0$297.95$297.95
Yoakum County HospitalDenver CityTX0$156.23$156.23
Kingwood Emergency HospitalKingwoodTX0$411.96$205.98

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.