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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in TX

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Hospitals
60
Min
$80.00
Median
$1,003.50
Max
$3,840.00
Range multiplier
48.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield44223$21.88$1,646.38$8,427.00385.1×
UnitedHealthcare41114$20.44$703.50$6,389.00312.6×
Aetna38112$22.00$828.70$5,166.00234.8×
Humana3063$22.55$630.00$2,400.00106.4×
Cigna3063$35.20$711.50$4,372.00124.2×
Medicaid1839$1.00$322.18$1,749.001749.0×
Medicare1037$326.68$375.13$438.681.3×
Multiplan1729$204.00$2,386.80$3,519.9017.3×
Anthem BCBS324$82.82$174.23$1,172.0014.2×
First Health1319$175.00$1,851.00$2,283.0013.0×
healthsmart716$218.00$2,196.52$2,225.3010.2×
healthcare highways [2210]515$433.25$696.50$1,610.463.7×
commercial | phcs | all plans59$1,912.28$2,386.80$3,324.351.7×
Ambetter99$524.51$838.47$859.651.6×
commercial | galaxy | all plans99$2,549.70$2,703.00$2,703.001.1×
assurant health48$1,628.88$1,628.88$1,628.881.0×
commercial | entrust | all plans88$723.46$859.25$957.271.3×
wellmed88$65.00$399.84$422.006.5×
web tpa48$1,110.60$1,110.60$1,110.601.0×
health partners open network27$19.97$199.47$674.2433.8×
web tpa [2115]57$433.25$1,430.68$2,283.005.3×
TRICARE27$118.15$118.15$409.523.5×
commercial | community health choice | exchange77$369.84$545.97$546.301.5×
baylor scott & white health plan16$384.81$588.35$1,244.863.2×
medica exchange inspire26$43.56$344.35$688.9515.8×
wellpoint66$422.00$539.78$1,021.022.4×
healthscope benefits [2290]56$433.25$660.13$1,430.683.3×
commercial | firstcare | all plans26$1,684.80$1,731.60$2,346.601.4×
scott & white56$825.00$825.00$1,858.782.3×
superior health plan46$410.00$486.00$824.002.0×
phcs [1780]45$1,161.11$1,783.04$2,130.801.8×
commercial | usa health network | all plans55$2,703.00$2,703.00$2,703.001.0×
commercial | renaissance | all plans55$262.07$262.22$262.221.0×
commercial | nppn | all plans55$2,544.00$2,544.00$2,544.001.0×
commercial | nxhealth | all plans55$1,175.62$1,182.94$1,183.651.0×
commercial | superior health plan | all plans55$545.97$546.30$546.301.0×
commercial | harris health | ers55$545.97$546.30$546.301.0×
commercial | kelseycare | all plans55$1,240.20$1,240.20$1,240.201.0×
commercial | kelseycare | exchange55$491.37$491.67$491.671.0×
90 degree benefits55$422.00$999.59$999.592.4×
black lung [6055]44$433.25$660.13$1,430.683.3×
medica exchange insure24$25.47$212.04$718.9428.2×
group pension admin [1450]44$1,161.11$1,596.83$1,783.041.5×
lucent health [6000]44$433.25$660.13$1,430.683.3×
mhs care connect24$82.82$82.82$82.821.0×
city of san angelo44$343.05$343.05$343.051.0×
insurance services of lubbock44$651.73$651.73$651.731.0×
patoka valley tier 124$174.23$174.23$174.231.0×
amerigroup commercial [5055]44$433.25$660.13$1,430.683.3×
Molina34$422.00$529.24$837.762.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rice Medical CenterEagle LakeTX19$1,329.90$930.93$1.00$957.53$1,329.90
Glen Rose Medical CenterGlen RoseTX8$1,465.00$1,465.00$573.00$952.00$1,392.00
Acuity Hospital Of South TexasSan AntonioTX1$94.66$94.66$94.66
Baylor County Hospital DistrictSeymourTX11$854.00$597.80$55.00$80.00$949.00
Crane County Hospital DistrictCraneTX2$1,208.00$846.00$737.00$792.00$1,087.00
Eastland Memorial HospitalEastlandTX3$1,081.00$541.00$670.00$773.00$973.00
Ut Health East Texas Specialty HospiTylerTX12$2,786.00$278.60$696.50$696.50$1,783.04
Muleshoe Area Medical CenterMuleshoeTX4$824.00$494.00$321.00$659.00$824.00
Texas Rehabilitation Hospital Of KelKellerTX12$2,495.00$249.50$623.75$623.75$1,671.65
Golden Plains Community HospitalBorgerTX6$1,732.00$1,212.40$318.69$568.14$1,243.00
Limestone Medical CenterGroesbeckTX8$1,590.00$954.00$243.60$480.06$1,272.00
Baylor S&W Medical Center - MckinneyMckinneyTX13$384.81$475.95$3,790.00
Brazosport Regional Health SystemLake JacksonTX11$1,182.00$413.70$187.35$451.34$2,981.00
Methodist Hospital For SurgeryAddisonTX32$2,582.00$1,549.20$409.52$436.63$3,660.00
Lifecare Spec Hosp Of North TexasDallasTX9$1,733.00$173.30$433.25$433.25$1,161.11
North Texas Medical CenterGainsvilleTX17$1,073.00$268.00$117.00$422.00$987.00
Baylor Orthopedic And Spine HospitalArlingtonTX3$3,452.00$2,071.20$1,820.00$3,840.00$8,427.00
Falls Community Hospital And ClinicMarlinTX6$706.00$564.80$207.20$381.61$1,583.06
Heritage Park Surgical HospitalShermanTX2$1,160.00$696.00$403.52$3,146.00$4,696.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$3,273.00$1,963.80$403.52$3,146.00$6,143.00
Crosbyton Clinic HospitalCrosbytonTX4$426.00$426.00$81.00$294.00$341.00
Clay County Memorial HospitalHenriettaTX5$1,355.00$948.00$218.00$285.00$434.00
Trinity Regional Hospital SachseSachseTX10$810.53$648.43$25.47$266.24$1,117.44
Grimes St. Joseph Health CenterNavasotaTX3$3,911.00$1,368.85$1,940.00$2,453.10$3,700.00
Madison St. Joseph Health CenterMadisonvilleTX6$3,911.00$1,368.85$1,684.80$2,419.95$3,700.00
Burleson St. Joseph Health CenterCaldwellTX5$3,911.00$1,368.85$1,684.80$2,386.80$3,519.90
St Lukes Health Memorial San AugustSan AugustineTX8$2,833.00$991.55$1,160.00$2,180.00$3,276.00
Baptist Saint Anthonys HospitalAmarilloTX84$3,044.00$304.40$284.92$2,130.80$2,587.40
Wilson N Jones Regional Medical CtrShermanTX12$810.53$648.43$19.97$198.40$810.53
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$2,110.00$1,266.00$802.00$1,931.00$2,026.00
Childrens Medical Center Of PlanoPlanoTX31$2,618.00$1,963.50$105.51$1,832.60$2,539.46
Chi St Lukes Health Memorial LufkinLufkinTX9$2,833.00$991.55$310.35$1,708.31$3,276.00
Shannon Medical CenterSan AngeloTX21$2,468.00$1,234.00$343.05$1,628.88$2,196.52
River Crest HospitalSan AngeloTX21$2,468.00$1,234.00$343.05$1,628.88$2,196.52
Big Spring State HospitalBig SpringsTX21$2,468.00$1,234.00$343.05$1,628.88$2,196.52
San Angelo Community Medical CenterSan AngeloTX21$2,468.00$1,234.00$343.05$1,628.88$2,196.52
Seton Medical Center Harker HeightsHarker HeightsTX13$3,426.50$342.65$595.53$1,610.46$2,967.35
Ascension Seton BastropBastropTX7$20.44$160.13$174.23
Ascension Seton Shoal CreekAustinTX7$20.44$160.13$174.23
Chi St Lukes Health Mem LivingstonLivingstonTX11$2,833.00$991.55$272.95$1,325.08$3,276.00
St. Lukes Patients Medical CenterPasadenaTX12$3,180.00$1,113.00$227.79$1,320.00$5,166.00
St. Lukes Sugar Land HospitalSugar LandTX19$3,180.00$1,113.00$262.22$1,300.00$5,166.00
St. Lukes The Woodlands HospitalThe WoodlandsTX20$3,180.00$1,113.00$262.07$1,240.20$5,166.00
St. Lukes Lakeside HospitalThe WoodlandsTX20$3,180.00$1,113.00$262.22$1,240.20$5,166.00
St Lukes Hospital At The VintageHoustonTX21$3,180.00$1,113.00$262.22$1,240.20$5,166.00
Chi St Lukes Health Baylor Med CtrHoustonTX21$3,180.00$1,113.00$262.07$1,240.20$5,166.00
Driscoll Childrens HospitalCorpus ChristiTX4$2,163.25$432.65$118.15$118.15$1,000.00
College Station Medical CenterCollege StationTX9$3,911.00$1,368.85$361.73$1,175.62$3,700.00
St. Joseph Regional Health CenterBryanTX9$3,911.00$1,368.85$361.73$1,175.62$3,700.00
Hansford County Hospital DistrictSpearmanTX5$1,116.00$837.00$780.00$1,003.50$1,172.00
Crescent Medical Center LancasterLancasterTX12$3,337.00$2,169.00$402.00$1,001.00$57,470
St Joseph Medical CenterHoustonTX0$2,402.74$2,402.74
Yoakum County HospitalDenver CityTX0$846.26$846.26
Kingwood Emergency HospitalKingwoodTX0$3,114.91$1,557.46
Longview Regional Medical CenterLongviewTX0$3,431.25$926.44
Navarro Regional HospitalCorsicanaTX0$2,774.00$970.90
Laredo Medical CenterLaredoTX0$4,455.67$1,559.48
The Medical Ctr Of Southeast TexasPort ArthurTX0$1,575.59$1,575.59
Haskell Memorial HospitalHaskellTX0$753.81$753.81
Nocona General HospitalNoconaTX0$1,108.00$101.28

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.