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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in TX

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Hospitals
59
Min
$80.00
Median
$1,438.49
Max
$7,320.00
Range multiplier
91.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield43218$80.00$2,265.74$9,348.00116.8×
UnitedHealthcare41106$38.08$1,225.38$7,749.00203.5×
Aetna3894$55.00$1,036.86$4,088.1774.3×
Cigna2855$80.00$1,314.71$4,368.0054.6×
Humana2853$65.00$791.19$4,203.7564.7×
Medicare1037$622.11$714.36$868.431.4×
Medicaid1736$1.00$618.87$2,943.052943.1×
Multiplan1925$360.40$3,972.05$4,764.2513.2×
Anthem BCBS323$190.81$330.48$2,217.0011.6×
First Health1217$1,178.25$1,890.00$4,484.003.8×
healthsmart717$88.00$1,398.19$4,764.2554.1×
healthcare highways [2210]412$1,259.25$1,809.82$2,309.111.8×
wellmed89$65.00$791.19$845.0013.0×
commercial | galaxy | all plans99$4,210.90$4,548.35$4,548.351.1×
Ambetter88$998.85$1,544.47$1,701.071.7×
web tpa48$706.95$706.95$706.951.0×
assurant health48$1,036.86$1,036.86$1,036.861.0×
commercial | entrust | all plans88$1,377.72$1,636.30$1,822.961.3×
web tpa [2115]47$1,259.25$2,309.11$3,684.752.9×
commercial | phcs | all plans57$360.40$3,159.00$3,972.0511.0×
TRICARE27$208.04$208.04$810.353.9×
commercial | community health choice | exchange77$700.88$1,039.71$1,040.321.5×
scott & white56$1,265.91$1,265.91$3,979.553.1×
wellpoint66$845.00$1,068.11$2,185.952.6×
healthscope benefits [2290]45$757.30$1,637.50$2,309.113.0×
commercial | kelseycare | all plans55$1,240.20$1,240.20$1,240.201.0×
health partners open network25$377.67$651.33$1,334.193.5×
commercial | superior health plan | all plans55$1,039.71$1,040.32$1,040.321.0×
commercial | usa health network | all plans55$4,548.35$4,548.35$4,548.351.0×
commercial | renaissance | all plans55$499.06$499.36$499.361.0×
superior health plan35$822.00$1,053.00$1,785.002.2×
commercial | kelseycare | exchange55$935.74$936.29$936.291.0×
commercial | nppn | all plans55$4,280.80$4,280.80$4,280.801.0×
commercial | harris health | ers55$1,039.71$1,040.32$1,040.321.0×
90 degree benefits55$845.00$1,977.98$1,977.982.3×
commercial | nxhealth | all plans55$2,238.80$2,252.70$2,254.041.0×
caprock44$1,977.98$1,977.98$1,977.981.0×
patoka valley tier 224$330.48$330.48$330.481.0×
pdh/texas trust44$1,582.39$1,582.39$1,582.391.0×
patoka valley tier 124$330.48$330.48$330.481.0×
phcs [1780]34$3,223.68$3,439.10$4,401.231.4×
txp optum health (transplant)14$2,970.65$3,475.10$4,203.751.4×
city of san angelo44$218.37$218.37$218.371.0×
mhs care connect24$190.81$190.81$190.811.0×
Molina34$845.00$1,053.42$1,793.602.1×
insurance services of lubbock44$1,289.65$1,289.65$1,289.651.0×
commercial | healthsmart | ppo44$3,745.70$3,745.70$3,745.701.0×
insurance management services44$1,289.65$1,289.65$1,289.651.0×
kempton group44$1,582.39$1,582.39$1,582.391.0×
commercial | firstcare | all plans24$254.40$1,529.10$2,803.8011.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
North Texas Medical CenterGainsvilleTX17$3,150.00$788.00$667.00$888.00$2,898.00
Methodist Hospital For SurgeryAddisonTX32$4,654.00$2,792.40$810.35$864.37$5,800.00
Brazosport Regional Health SystemLake JacksonTX11$2,706.00$947.10$428.91$859.49$3,520.00
Baylor County Hospital DistrictSeymourTX11$2,457.00$1,719.90$55.00$80.00$1,228.00
Falls Community Hospital And ClinicMarlinTX6$2,304.00$1,843.20$104.20$767.72$2,999.97
Golden Plains Community HospitalBorgerTX6$3,311.00$2,317.70$176.46$761.53$2,852.00
Wilson N Jones Regional Medical CtrShermanTX12$1,794.29$1,435.44$194.00$735.21$1,794.29
Baylor Orthopedic And Spine HospitalArlingtonTX2$5,001.00$3,000.60$3,840.00$7,320.00$8,427.00
Trinity Regional Hospital SachseSachseTX10$2,519.34$2,015.48$194.00$718.17$2,211.21
Limestone Medical CenterGroesbeckTX8$2,205.00$1,323.00$270.00$665.69$1,764.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$4,909.00$2,945.40$808.45$6,354.50$9,348.00
Heritage Park Surgical HospitalShermanTX2$615.00$369.00$808.45$6,263.00$9,348.00
Clay County Memorial HospitalHenriettaTX5$6,502.00$4,551.00$88.00$553.00$2,081.00
Childrens Medical Center Of PlanoPlanoTX31$5,605.00$4,203.75$235.36$3,923.50$5,436.85
Warm Springs Rehab Hosp KyleKyleTX8$4,466.63$4,466.63$3,126.64$3,461.64$4,019.97
Baptist Saint Anthonys HospitalAmarilloTX68$4,913.00$491.30$1,523.03$3,439.10$4,176.05
Acuity Hospital Of South TexasSan AntonioTX11$4,466.63$4,466.63$168.75$3,349.97$4,019.97
St Lukes Health Memorial San AugustSan AugustineTX8$4,680.00$1,638.00$2,880.00$3,276.00$4,368.00
Crosbyton Clinic HospitalCrosbytonTX4$1,263.00$1,263.00$79.00$321.50$1,010.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$3,371.00$2,023.00$1,281.00$3,084.50$3,236.00
Grimes St. Joseph Health CenterNavasotaTX3$4,673.00$1,635.55$360.40$3,040.00$6,750.00
Ascension Seton BastropBastropTX7$38.08$301.25$330.48
Ascension Seton Shoal CreekAustinTX7$38.08$301.25$330.48
Chi St Lukes Health Memorial LufkinLufkinTX9$4,680.00$1,638.00$591.00$2,960.00$4,368.00
Chi St Lukes Health Mem LivingstonLivingstonTX10$4,680.00$1,638.00$591.00$2,880.00$4,368.00
Madison St. Joseph Health CenterMadisonvilleTX6$4,673.00$1,635.55$254.40$2,803.80$6,750.00
Burleson St. Joseph Health CenterCaldwellTX5$4,673.00$1,635.55$254.40$2,681.90$4,205.70
Driscoll Childrens HospitalCorpus ChristiTX4$5,309.95$1,061.99$208.04$208.04$1,000.00
Hansford County Hospital DistrictSpearmanTX5$2,282.00$1,712.00$1,596.00$2,053.00$2,396.00
Seton Medical Center Harker HeightsHarker HeightsTX13$4,207.20$420.72$731.21$1,977.38$3,643.44
Glen Rose Medical CenterGlen RoseTX8$2,771.00$2,771.00$1,275.00$1,940.00$2,632.00
Chi St Lukes Health Baylor Med CtrHoustonTX21$5,351.00$1,872.85$499.06$1,811.48$4,548.35
Rice Medical CenterEagle LakeTX18$2,457.40$1,720.18$1.00$1,769.33$2,457.40
Lifecare Spec Hosp Of North TexasDallasTX9$6,569.00$656.90$1,642.25$1,642.25$4,401.23
Crane County Hospital DistrictCraneTX2$2,475.00$1,733.00$1,510.00$1,623.00$2,228.00
Eastland Memorial HospitalEastlandTX3$2,220.00$1,110.00$1,376.00$1,587.50$1,998.00
Ut Health East Texas Specialty HospiTylerTX17$5,037.00$503.70$435.20$1,531.89$3,223.68
St. Lukes Sugar Land HospitalSugar LandTX19$5,351.00$1,872.85$499.36$1,438.49$4,548.35
St Lukes Hospital At The VintageHoustonTX21$5,351.00$1,872.85$499.36$1,438.49$4,548.35
St. Lukes The Woodlands HospitalThe WoodlandsTX20$5,351.00$1,872.85$499.06$1,438.01$4,548.35
Muleshoe Area Medical CenterMuleshoeTX4$1,785.00$1,071.00$696.00$1,428.00$1,785.00
St. Lukes Patients Medical CenterPasadenaTX12$4,954.00$1,733.90$354.86$1,399.86$4,210.90
College Station Medical CenterCollege StationTX9$4,673.00$1,635.55$360.40$1,377.72$6,750.00
St. Joseph Regional Health CenterBryanTX9$4,673.00$1,635.55$360.40$1,377.72$6,750.00
Big Spring State HospitalBig SpringsTX21$1,571.00$785.50$218.37$1,201.82$3,119.97
San Angelo Community Medical CenterSan AngeloTX21$1,571.00$785.50$218.37$1,201.82$3,119.97
Shannon Medical CenterSan AngeloTX21$1,571.00$785.50$218.37$1,201.82$3,119.97
River Crest HospitalSan AngeloTX21$1,571.00$785.50$218.37$1,201.82$3,119.97
Crescent Medical Center LancasterLancasterTX12$3,668.00$2,384.00$734.00$1,144.50$115,141
St. Lukes Lakeside HospitalThe WoodlandsTX20$5,351.00$1,872.85$499.36$1,140.26$4,548.35
St Joseph Medical CenterHoustonTX0$3,425.78$3,425.78
Laredo Medical CenterLaredoTX0$22,739$7,958.74
The Medical Ctr Of Southeast TexasPort ArthurTX0$3,516.98$3,516.98
Nocona General HospitalNoconaTX0$2,099.00$27.85
Navarro Regional HospitalCorsicanaTX0$6,021.00$2,107.35
Longview Regional Medical CenterLongviewTX0$14,424$3,894.48
Yoakum County HospitalDenver CityTX0$2,182.29$2,182.29
Haskell Memorial HospitalHaskellTX0$1,844.50$1,844.50
Kingwood Emergency HospitalKingwoodTX0$6,036.40$3,018.20

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.