▸ Compare · PriceTransparency
ED visit level 5
CPT 99285 · negotiated-rate distribution across hospitals in TX
Hospitals
60
Min
$80.00
Median
$1,325.60
Max
$6,854.00
Range multiplier
85.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 45 | 230 | $21.88 | $2,255.16 | $10,230 | 467.6× |
| UnitedHealthcare | 41 | 124 | $22.55 | $1,166.59 | $6,389.00 | 283.3× |
| Aetna | 39 | 122 | $22.00 | $1,133.69 | $6,582.00 | 299.2× |
| Humana | 29 | 70 | $22.55 | $1,325.60 | $3,663.20 | 162.4× |
| Cigna | 30 | 67 | $35.20 | $1,193.04 | $4,925.00 | 139.9× |
| Medicaid | 18 | 43 | $1.00 | $386.42 | $2,567.94 | 2567.9× |
| Medicare | 10 | 37 | $468.93 | $538.46 | $627.34 | 1.3× |
| Multiplan | 18 | 30 | $350.00 | $2,976.58 | $4,136.40 | 11.8× |
| First Health | 13 | 27 | $300.00 | $2,531.10 | $3,434.25 | 11.4× |
| Anthem BCBS | 3 | 24 | $121.94 | $252.81 | $1,846.00 | 15.1× |
| healthsmart | 7 | 23 | $249.00 | $2,852.84 | $4,075.31 | 16.4× |
| assurant health | 4 | 16 | $1,093.62 | $2,057.88 | $3,022.14 | 2.8× |
| web tpa | 4 | 16 | $745.65 | $1,403.10 | $2,060.55 | 2.8× |
| healthcare highways [2210] | 5 | 15 | $686.25 | $847.25 | $2,567.94 | 3.7× |
| web tpa [2115] | 5 | 9 | $686.25 | $1,715.97 | $2,738.25 | 4.0× |
| commercial | galaxy | all plans | 9 | 9 | $3,104.10 | $3,309.90 | $3,347.30 | 1.1× |
| commercial | phcs | all plans | 5 | 9 | $2,328.08 | $2,892.55 | $3,906.60 | 1.7× |
| Ambetter | 8 | 8 | $752.90 | $1,119.16 | $1,237.73 | 1.6× |
| city of san angelo | 4 | 8 | $230.32 | $433.40 | $636.48 | 2.8× |
| wellmed | 8 | 8 | $65.00 | $575.69 | $612.00 | 9.4× |
| commercial | entrust | all plans | 8 | 8 | $1,038.48 | $1,233.39 | $1,374.07 | 1.3× |
| health partners open network | 2 | 7 | $19.97 | $296.09 | $970.78 | 48.6× |
| TRICARE | 2 | 7 | $171.78 | $171.78 | $589.63 | 3.4× |
| commercial | community health choice | exchange | 7 | 7 | $530.41 | $783.69 | $784.17 | 1.5× |
| healthscope benefits [2290] | 5 | 6 | $686.25 | $915.36 | $1,715.97 | 2.5× |
| medica exchange inspire | 2 | 6 | $43.56 | $484.25 | $989.24 | 22.7× |
| scott & white | 5 | 6 | $925.00 | $925.00 | $2,774.68 | 3.0× |
| wellpoint | 6 | 6 | $612.00 | $777.18 | $1,524.12 | 2.5× |
| commercial | firstcare | all plans | 2 | 6 | $2,041.80 | $2,117.40 | $2,757.60 | 1.4× |
| commercial | renaissance | all plans | 5 | 5 | $376.17 | $376.40 | $376.40 | 1.0× |
| commercial | superior health plan | all plans | 5 | 5 | $783.69 | $784.17 | $784.17 | 1.0× |
| commercial | nxhealth | all plans | 5 | 5 | $1,687.53 | $1,698.00 | $1,699.04 | 1.0× |
| commercial | usa health network | all plans | 5 | 5 | $3,309.90 | $3,309.90 | $3,309.90 | 1.0× |
| commercial | kelseycare | all plans | 5 | 5 | $1,240.20 | $1,240.20 | $1,240.20 | 1.0× |
| commercial | harris health | ers | 5 | 5 | $783.69 | $784.17 | $784.17 | 1.0× |
| commercial | nppn | all plans | 5 | 5 | $3,115.20 | $3,115.20 | $3,115.20 | 1.0× |
| phcs [1780] | 4 | 5 | $1,839.15 | $2,168.96 | $2,555.70 | 1.4× |
| commercial | kelseycare | exchange | 5 | 5 | $705.32 | $705.75 | $705.75 | 1.0× |
| 90 degree benefits | 5 | 5 | $612.00 | $1,439.22 | $1,439.22 | 2.4× |
| superior health plan | 3 | 5 | $595.00 | $668.00 | $1,133.00 | 1.9× |
| black lung [6055] | 4 | 4 | $686.25 | $785.38 | $1,715.97 | 2.5× |
| medica exchange insure | 2 | 4 | $25.47 | $293.82 | $1,032.30 | 40.5× |
| group pension admin [1450] | 4 | 4 | $1,825.50 | $1,889.07 | $2,168.96 | 1.2× |
| mhs care connect | 2 | 4 | $121.94 | $121.94 | $121.94 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $252.81 | $252.81 | $252.81 | 1.0× |
| insurance services of lubbock | 4 | 4 | $938.37 | $938.37 | $938.37 | 1.0× |
| kempton group | 4 | 4 | $1,151.38 | $1,151.38 | $1,151.38 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $252.81 | $252.81 | $252.81 | 1.0× |
| amerigroup commercial [5055] | 4 | 4 | $686.25 | $785.38 | $1,715.97 | 2.5× |
| lucent health [6000] | 4 | 4 | $686.25 | $785.38 | $1,715.97 | 2.5× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Muleshoe Area Medical Center | Muleshoe | TX | 4 | $1,133.00 | $680.00 | $442.00 | $906.00 | $1,133.00 |
| Golden Plains Community Hospital | Borger | TX | 6 | $2,416.00 | $1,691.20 | $444.54 | $814.79 | $1,642.88 |
| Baylor County Hospital District | Seymour | TX | 11 | $854.00 | $597.80 | $55.00 | $80.00 | $1,125.00 |
| Lifecare Spec Hosp Of North Texas | Dallas | TX | 9 | $2,894.00 | $289.40 | $723.50 | $723.50 | $1,938.98 |
| Baylor Scott And White Mc At Sunnyva | Sunnyvale | TX | 2 | $6,574.00 | $3,944.40 | $585.19 | $6,854.00 | $10,230 |
| Heritage Park Surgical Hospital | Sherman | TX | 2 | $1,715.00 | $1,029.00 | $585.19 | $6,854.00 | $10,230 |
| Brazosport Regional Health System | Lake Jackson | TX | 11 | $1,808.00 | $632.80 | $286.57 | $647.85 | $3,520.00 |
| Clay County Memorial Hospital | Henrietta | TX | 5 | $4,335.00 | $3,035.00 | $249.00 | $632.50 | $1,387.00 |
| Methodist Hospital For Surgery | Addison | TX | 32 | $3,549.00 | $2,129.40 | $585.14 | $623.18 | $5,800.00 |
| North Texas Medical Center | Gainsville | TX | 17 | $1,329.00 | $332.00 | $200.00 | $612.00 | $1,223.00 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 3 | $7,303.00 | $4,381.80 | $2,457.00 | $5,646.00 | $8,427.00 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $3,862.00 | $3,089.60 | $301.00 | $548.11 | $3,089.60 |
| Limestone Medical Center | Groesbeck | TX | 8 | $1,890.25 | $1,134.15 | $163.82 | $486.39 | $1,512.20 |
| Crosbyton Clinic Hospital | Crosbyton | TX | 4 | $677.00 | $677.00 | $128.00 | $467.50 | $542.00 |
| Trinity Regional Hospital Sachse | Sachse | TX | 10 | $1,163.81 | $931.05 | $25.47 | $386.61 | $1,608.91 |
| Grimes St. Joseph Health Center | Navasota | TX | 3 | $4,596.00 | $1,608.60 | $2,560.00 | $3,040.00 | $4,200.00 |
| Madison St. Joseph Health Center | Madisonville | TX | 6 | $4,596.00 | $1,608.60 | $2,041.80 | $2,970.55 | $4,200.00 |
| Burleson St. Joseph Health Center | Caldwell | TX | 5 | $4,596.00 | $1,608.60 | $2,041.80 | $2,941.44 | $4,136.40 |
| St Lukes Health Memorial San August | San Augustine | TX | 8 | $3,449.00 | $1,207.15 | $2,231.51 | $2,880.00 | $4,368.00 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 12 | $1,163.81 | $931.05 | $19.97 | $287.60 | $1,163.81 |
| Dimmit Regional Hospital District | Carrizo Springs | TX | 3 | $3,066.00 | $1,840.00 | $1,165.00 | $2,805.00 | $2,943.00 |
| Childrens Medical Center Of Plano | Plano | TX | 31 | $3,908.00 | $2,931.00 | $153.05 | $2,735.60 | $3,790.76 |
| Seton Medical Center Harker Heights | Harker Heights | TX | 13 | $5,463.70 | $546.37 | $949.59 | $2,567.94 | $4,731.56 |
| Baptist Saint Anthonys Hospital | Amarillo | TX | 84 | $3,651.00 | $365.10 | $341.73 | $2,555.70 | $3,103.35 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | — | — | $30.50 | $235.33 | $252.81 |
| Ascension Seton Shoal Creek | Austin | TX | 7 | — | — | $30.50 | $235.33 | $252.81 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 9 | $3,449.00 | $1,207.15 | $445.48 | $2,326.36 | $4,368.00 |
| Pam Squared At Corpus Christi | Corpus Chrsti | TX | 7 | $2,818.09 | $2,818.09 | $1,972.66 | $2,113.57 | $2,395.38 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 11 | $3,449.00 | $1,207.15 | $272.95 | $2,069.41 | $4,368.00 |
| St. Lukes Patients Medical Center | Pasadena | TX | 12 | $3,938.00 | $1,378.30 | $282.08 | $1,800.00 | $6,582.00 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 19 | $3,894.00 | $1,362.90 | $376.40 | $1,760.00 | $6,582.00 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 21 | $3,894.00 | $1,362.90 | $376.17 | $1,752.30 | $6,582.00 |
| Driscoll Childrens Hospital | Corpus Christi | TX | 4 | $2,931.65 | $586.33 | $171.78 | $171.78 | $1,000.00 |
| St Lukes Hospital At The Vintage | Houston | TX | 21 | $3,894.00 | $1,362.90 | $376.40 | $1,699.04 | $6,582.00 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 20 | $3,894.00 | $1,362.90 | $376.17 | $1,698.00 | $6,582.00 |
| St. Joseph Regional Health Center | Bryan | TX | 9 | $4,596.00 | $1,608.60 | $519.24 | $1,687.53 | $4,200.00 |
| College Station Medical Center | College Station | TX | 9 | $4,596.00 | $1,608.60 | $519.24 | $1,687.53 | $4,200.00 |
| Glen Rose Medical Center | Glen Rose | TX | 8 | $2,307.00 | $2,307.00 | $907.00 | $1,500.00 | $2,192.00 |
| Crescent Medical Center Lancaster | Lancaster | TX | 12 | $4,925.00 | $3,201.00 | $583.00 | $1,477.50 | $83,343 |
| Hansford County Hospital District | Spearman | TX | 5 | $1,600.00 | $1,200.00 | $1,120.00 | $1,440.00 | $1,680.00 |
| Acuity Hospital Of South Texas | San Antonio | TX | 1 | — | — | $137.36 | $137.36 | $137.36 |
| San Angelo Community Medical Center | San Angelo | TX | 21 | $4,579.00 | $2,289.50 | $230.32 | $1,325.60 | $4,075.31 |
| Shannon Medical Center | San Angelo | TX | 21 | $4,579.00 | $2,289.50 | $230.32 | $1,325.60 | $4,075.31 |
| Big Spring State Hospital | Big Springs | TX | 21 | $4,579.00 | $2,289.50 | $230.32 | $1,325.60 | $4,075.31 |
| River Crest Hospital | San Angelo | TX | 21 | $4,579.00 | $2,289.50 | $230.32 | $1,325.60 | $4,075.31 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 20 | $3,894.00 | $1,362.90 | $376.40 | $1,240.20 | $6,582.00 |
| Rice Medical Center | Eagle Lake | TX | 19 | $1,642.30 | $1,149.61 | $1.00 | $1,182.46 | $1,642.30 |
| Texas Rehabilitation Hospital Of Kel | Keller | TX | 17 | $2,745.00 | $274.50 | $686.25 | $1,133.69 | $1,839.15 |
| Crane County Hospital District | Crane | TX | 2 | $1,726.00 | $1,208.00 | $1,046.00 | $1,128.00 | $1,553.00 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $1,576.00 | $788.00 | $977.00 | $1,127.00 | $1,418.00 |
| Ut Health East Texas Specialty Hospi | Tyler | TX | 17 | $3,389.00 | $338.90 | $292.81 | $1,030.69 | $2,168.96 |
| Haskell Memorial Hospital | Haskell | TX | 0 | $1,113.95 | $1,113.95 | — | — | — |
| Navarro Regional Hospital | Corsicana | TX | 0 | $4,118.00 | $1,441.30 | — | — | — |
| Longview Regional Medical Center | Longview | TX | 0 | $5,035.67 | $1,359.63 | — | — | — |
| Yoakum County Hospital | Denver City | TX | 0 | $1,244.25 | $1,244.25 | — | — | — |
| St Joseph Medical Center | Houston | TX | 0 | $3,261.73 | $3,261.73 | — | — | — |
| Kingwood Emergency Hospital | Kingwood | TX | 0 | $4,079.96 | $2,039.98 | — | — | — |
| Laredo Medical Center | Laredo | TX | 0 | $8,622.55 | $3,017.89 | — | — | — |
| The Medical Ctr Of Southeast Texas | Port Arthur | TX | 0 | $2,207.32 | $2,207.32 | — | — | — |
| Nocona General Hospital | Nocona | TX | 0 | $1,589.00 | $175.86 | — | — | — |
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.