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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$40 – $8,427

Negotiated median

$100

CPT 99221 Initial hospital care, low complexity · Showing 200 of 309 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
BAYLOR ORTHOPEDIC AND SPINE HOSPITAL	TX	Blue Cross Blue Shield	BCBS PPO DFW	outpatient	negotiated	$8,427
BAYLOR ORTHOPEDIC AND SPINE HOSPITAL	TX	Blue Cross Blue Shield	BCBS HMO DFW	outpatient	negotiated	$8,006
BAYLOR ORTHOPEDIC AND SPINE HOSPITAL	TX	Blue Cross Blue Shield	BCBS PPO-CITY OF DALLAS	outpatient	negotiated	$7,584
BAYLOR ORTHOPEDIC AND SPINE HOSPITAL	TX	Blue Cross Blue Shield	BCBS PREMIER HMO	outpatient	negotiated	$5,646
BAYLOR ORTHOPEDIC AND SPINE HOSPITAL	TX	Blue Cross Blue Shield	BCBS BAV	outpatient	negotiated	$3,986
FALLS COMMUNITY HOSPITAL AND CLINIC	TX	Blue Cross Blue Shield	PPO	outpatient	negotiated	$463.82
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	Multiplan	Commercial	outpatient	negotiated	$393
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	capstar	PPO	outpatient	negotiated	$389
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	superior health plan	Commercial - Exchange	outpatient	negotiated	$389
SHANNON MEDICAL CENTER	TX	Blue Cross Blue Shield	PPO	outpatient	negotiated	$361.78
RIVER CREST HOSPITAL	TX	Blue Cross Blue Shield	BAV	outpatient	negotiated	$361.78
RIVER CREST HOSPITAL	TX	Blue Cross Blue Shield	PPO	outpatient	negotiated	$361.78
BIG SPRING STATE HOSPITAL	TX	Blue Cross Blue Shield	PPO	outpatient	negotiated	$361.78
SAN ANGELO COMMUNITY MEDICAL CENTER	TX	Blue Cross Blue Shield	BAV	outpatient	negotiated	$361.78
BIG SPRING STATE HOSPITAL	TX	Blue Cross Blue Shield	BAV	outpatient	negotiated	$361.78
SHANNON MEDICAL CENTER	TX	Blue Cross Blue Shield	BAV	outpatient	negotiated	$361.78
SAN ANGELO COMMUNITY MEDICAL CENTER	TX	Blue Cross Blue Shield	PPO	outpatient	negotiated	$361.78
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	firstcare	Commercial	outpatient	negotiated	$354
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	galaxy health network	Commercial	outpatient	negotiated	$354
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	scott and white health plan	Commercial	outpatient	negotiated	$354
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	private health care systems (phcs)	Commercial	outpatient	negotiated	$354
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$354
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	healthsmart preferred network	Commercial	outpatient	negotiated	$354
BIG SPRING STATE HOSPITAL	TX	Blue Cross Blue Shield	HMO	outpatient	negotiated	$344.25
SAN ANGELO COMMUNITY MEDICAL CENTER	TX	Blue Cross Blue Shield	HMO	outpatient	negotiated	$344.25
RIVER CREST HOSPITAL	TX	Blue Cross Blue Shield	HMO	outpatient	negotiated	$344.25
SHANNON MEDICAL CENTER	TX	Blue Cross Blue Shield	HMO	outpatient	negotiated	$344.25
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	Blue Cross Blue Shield	Blue Essentials	outpatient	negotiated	$338
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	Aetna	Medicare Advantage	outpatient	negotiated	$334
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	three rivers provider network	Commercial	outpatient	negotiated	$334
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	Aetna	Commercial	outpatient	negotiated	$334
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	choicecare	Commercial	outpatient	negotiated	$314
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	Cigna	Commercial	outpatient	negotiated	$314
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Blue Cross Blue Shield	PPO/Traditional	inpatient	negotiated	$278.12
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	superior health plan	Medicare Advantage	outpatient	negotiated	$278
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Aetna	All Commercial	inpatient	negotiated	$265.85
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Aetna	All Commercial	outpatient	negotiated	$265.85
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	wellpoint	Medicare Advantage	outpatient	negotiated	$259
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Blue Cross Blue Shield	HMO	inpatient	negotiated	$257.67
LIMESTONE MEDICAL CENTER	TX	Aetna	PPO/HMO	outpatient	negotiated	$251.16
LIMESTONE MEDICAL CENTER	TX	Aetna	PPO/HMO	inpatient	negotiated	$251.16
LIMESTONE MEDICAL CENTER	TX	Aetna	PPO/HMO	outpatient	negotiated	$247.8
LIMESTONE MEDICAL CENTER	TX	Aetna	PPO/HMO	inpatient	negotiated	$247.8
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Blue Cross Blue Shield	HMO	inpatient	negotiated	$245.4
MCCAMEY COUNTY HOSPITAL DISTRICT	TX	Blue Cross Blue Shield	Blue Advantage HMO	outpatient	negotiated	$236
LIMESTONE MEDICAL CENTER	TX	Humana	PPO/HMO	inpatient	negotiated	$235.46
LIMESTONE MEDICAL CENTER	TX	Humana	PPO/HMO	outpatient	negotiated	$235.46
LIMESTONE MEDICAL CENTER	TX	Humana	PPO/HMO	outpatient	negotiated	$232.31
LIMESTONE MEDICAL CENTER	TX	Humana	PPO/HMO	inpatient	negotiated	$232.31
NORTH TEXAS MEDICAL CENTER	TX	UnitedHealthcare	Commercial	outpatient	negotiated	$230
TRINITY REGIONAL HOSPITAL SACHSE	TX	UnitedHealthcare	HMO	both	negotiated	$226.16
WILSON N JONES REGIONAL MEDICAL CTR	TX	UnitedHealthcare	HMO	both	negotiated	$226.16
WILSON N JONES REGIONAL MEDICAL CTR	TX	UnitedHealthcare	PPO	both	negotiated	$226.16
TRINITY REGIONAL HOSPITAL SACHSE	TX	UnitedHealthcare	PPO	both	negotiated	$226.16
NORTH TEXAS MEDICAL CENTER	TX	prime health	PPO	outpatient	negotiated	$225
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Blue Cross Blue Shield	PPO/Traditional	outpatient	negotiated	$224.69
LIMESTONE MEDICAL CENTER	TX	Cigna	PPO	outpatient	negotiated	$219.77
LIMESTONE MEDICAL CENTER	TX	Cigna	PPO	outpatient	negotiated	$216.83
NORTH TEXAS MEDICAL CENTER	TX	provider select	PPO	outpatient	negotiated	$213
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Blue Cross Blue Shield	HMO	outpatient	negotiated	$207.17
WILSON N JONES REGIONAL MEDICAL CTR	TX	Aetna	HMO	both	negotiated	$198.35
TRINITY REGIONAL HOSPITAL SACHSE	TX	Aetna	HMO	both	negotiated	$198.35
WILSON N JONES REGIONAL MEDICAL CTR	TX	Aetna	PPO	both	negotiated	$198.35
TRINITY REGIONAL HOSPITAL SACHSE	TX	Aetna	PPO	both	negotiated	$198.35
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Blue Cross Blue Shield	HMO	outpatient	negotiated	$197.89
LIMESTONE MEDICAL CENTER	TX	UnitedHealthcare	PPO/HMO	outpatient	negotiated	$194.02
LIMESTONE MEDICAL CENTER	TX	UnitedHealthcare	PPO/HMO	inpatient	negotiated	$194.02
LIMESTONE MEDICAL CENTER	TX	UnitedHealthcare	PPO/HMO	inpatient	negotiated	$191.43
LIMESTONE MEDICAL CENTER	TX	UnitedHealthcare	PPO/HMO	outpatient	negotiated	$191.43
LIMESTONE MEDICAL CENTER	TX	Medicaid	UNKNOWN	outpatient	negotiated	$175.81
NORTH TEXAS MEDICAL CENTER	TX	Multiplan	PPO	outpatient	negotiated	$175
LIMESTONE MEDICAL CENTER	TX	Medicaid	UNKNOWN	outpatient	negotiated	$173.46
TRINITY REGIONAL HOSPITAL SACHSE	TX	health partners open network	Commercial	both	negotiated	$167.73
WILSON N JONES REGIONAL MEDICAL CTR	TX	health partners open network	Commercial	both	negotiated	$167.73
FALLS COMMUNITY HOSPITAL AND CLINIC	TX	Aetna	HMO/PPO/POS	outpatient	negotiated	$161.6
TRINITY REGIONAL HOSPITAL SACHSE	TX	Cigna	Commercial	both	negotiated	$158.55
WILSON N JONES REGIONAL MEDICAL CTR	TX	Cigna	Commercial	both	negotiated	$158.55
NORTH TEXAS MEDICAL CENTER	TX	Aetna	Commercial	outpatient	negotiated	$155
NORTH TEXAS MEDICAL CENTER	TX	First Health	PPO	outpatient	negotiated	$150
NORTH TEXAS MEDICAL CENTER	TX	healthcare highways	PPO	outpatient	negotiated	$150
FALLS COMMUNITY HOSPITAL AND CLINIC	TX	UnitedHealthcare	HMO/PPO/POS	outpatient	negotiated	$141.4
TRINITY REGIONAL HOSPITAL SACHSE	TX	Blue Cross Blue Shield	HMO	both	negotiated	$135.5
TRINITY REGIONAL HOSPITAL SACHSE	TX	Blue Cross Blue Shield	Commercial	both	negotiated	$135.5
WILSON N JONES REGIONAL MEDICAL CTR	TX	Blue Cross Blue Shield	PPO	both	negotiated	$135.5
WILSON N JONES REGIONAL MEDICAL CTR	TX	Blue Cross Blue Shield	Commercial	both	negotiated	$135.5
WILSON N JONES REGIONAL MEDICAL CTR	TX	Blue Cross Blue Shield	HMO	both	negotiated	$135.5
TRINITY REGIONAL HOSPITAL SACHSE	TX	Blue Cross Blue Shield	PPO	both	negotiated	$135.5
NORTH TEXAS MEDICAL CENTER	TX	Blue Cross Blue Shield	Blue Advantage	outpatient	negotiated	$125
NORTH TEXAS MEDICAL CENTER	TX	Blue Cross Blue Shield	Blue Essentials	outpatient	negotiated	$125
HERITAGE PARK SURGICAL HOSPITAL	TX	healthchoice	PPO	outpatient	negotiated	$120.4
ASCENSION SETON BASTROP	TX	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$113.35
ASCENSION SETON SHOAL CREEK	TX	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$113.35
ASCENSION SETON SHOAL CREEK	TX	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$113.35
ASCENSION SETON BASTROP	TX	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$113.35
NORTH TEXAS MEDICAL CENTER	TX	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$103
BAYLOR COUNTY HOSPITAL DISTRICT	TX	superior health	Medicaid	outpatient	negotiated	$100
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Aetna	UNKNOWN	outpatient	negotiated	$100
NORTH TEXAS MEDICAL CENTER	TX	Cigna	Commercial	outpatient	negotiated	$100
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Aetna	Medicare Advantage	inpatient	negotiated	$100
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Medicaid	UNKNOWN	outpatient	negotiated	$100
ASCENSION SETON BASTROP	TX	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$97.63
ASCENSION SETON SHOAL CREEK	TX	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$97.63
ASCENSION SETON BASTROP	TX	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$97.63
FALLS COMMUNITY HOSPITAL AND CLINIC	TX	Humana	Medicare Advantage	outpatient	negotiated	$96.47
FALLS COMMUNITY HOSPITAL AND CLINIC	TX	scott and white	HMO/PPO/POS	outpatient	negotiated	$96.47
FALLS COMMUNITY HOSPITAL AND CLINIC	TX	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$96.47
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	wellmed	Medicare Advantage	outpatient	negotiated	$94.07
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$94.07
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Humana	Medicare Advantage	outpatient	negotiated	$94.07
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Aetna	Medicare Advantage	outpatient	negotiated	$94.07
LIMESTONE MEDICAL CENTER	TX	pphp	Medicare Advantage	outpatient	negotiated	$92.87
LIMESTONE MEDICAL CENTER	TX	pphp	Medicare Advantage	outpatient	negotiated	$91.62
LIMESTONE MEDICAL CENTER	TX	Humana	Medicare Advantage	outpatient	negotiated	$91.05
LIMESTONE MEDICAL CENTER	TX	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$91.05
LIMESTONE MEDICAL CENTER	TX	Medicare Advantage	Medicare Advantage	outpatient	negotiated	$91.05
LIMESTONE MEDICAL CENTER	TX	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$91.05
LIMESTONE MEDICAL CENTER	TX	Humana	Medicare Advantage	outpatient	negotiated	$89.83
LIMESTONE MEDICAL CENTER	TX	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$89.83
LIMESTONE MEDICAL CENTER	TX	Medicare Advantage	Medicare Advantage	outpatient	negotiated	$89.83
LIMESTONE MEDICAL CENTER	TX	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$89.83
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Blue Cross Blue Shield	HMO/PPO/Blue Advantage	outpatient	negotiated	$80
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Cigna	HMO/PPO	inpatient	negotiated	$80
BAYLOR COUNTY HOSPITAL DISTRICT	TX	galaxy health network	HMO/PPO/POS	outpatient	negotiated	$80
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Cigna	HMO/PPO	outpatient	negotiated	$80
BAYLOR COUNTY HOSPITAL DISTRICT	TX	galaxy health network	HMO/PPO/POS	inpatient	negotiated	$80
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Blue Cross Blue Shield	HMO/PPO/Blue Advantage	inpatient	negotiated	$80
WILSON N JONES REGIONAL MEDICAL CTR	TX	UnitedHealthcare	Medicare Advantage	both	negotiated	$78.47
TRINITY REGIONAL HOSPITAL SACHSE	TX	UnitedHealthcare	Medicare Advantage	both	negotiated	$78.47
TRINITY REGIONAL HOSPITAL SACHSE	TX	Humana	Medicare Advantage	both	negotiated	$78.47
WILSON N JONES REGIONAL MEDICAL CTR	TX	iowa health	Medicare Advantage	both	negotiated	$78.47
ACUITY HOSPITAL OF SOUTH TEXAS	TX	Aetna	All Plans	inpatient	negotiated	$77.17
TRINITY REGIONAL HOSPITAL SACHSE	TX	Blue Cross Blue Shield	Medicare Advantage	both	negotiated	$76.22
WILSON N JONES REGIONAL MEDICAL CTR	TX	Blue Cross Blue Shield	Medicare Advantage	both	negotiated	$76.22
GOLDEN PLAINS COMMUNITY HOSPITAL	TX	Cigna	All Commercial	outpatient	negotiated	$75.26
WILSON N JONES REGIONAL MEDICAL CTR	TX	amerivantage	Medicare Advantage	both	negotiated	$74.73
WILSON N JONES REGIONAL MEDICAL CTR	TX	Humana	Medicare Advantage	both	negotiated	$74.73
TRINITY REGIONAL HOSPITAL SACHSE	TX	Aetna	Medicare Advantage	both	negotiated	$74.73
WILSON N JONES REGIONAL MEDICAL CTR	TX	Aetna	Medicare Advantage	both	negotiated	$74.73
CHILDRENS MEDICAL CENTER OF PLANO	TX	Humana	Managed Medicaid	outpatient	negotiated	$71.36
CHILDRENS MEDICAL CENTER OF PLANO	TX	Medicaid	Managed Medicaid	outpatient	negotiated	$71.36
CHILDRENS MEDICAL CENTER OF PLANO	TX	oklahoma complete health	Managed Medicaid	outpatient	negotiated	$71.36
CHILDRENS MEDICAL CENTER OF PLANO	TX	Aetna	Managed Medicaid	outpatient	negotiated	$71.36
ASCENSION SETON BASTROP	TX	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$71.02
ASCENSION SETON SHOAL CREEK	TX	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$71.02
ASCENSION SETON BASTROP	TX	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$71.02
ASCENSION SETON BASTROP	TX	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$71.02
ASCENSION SETON BASTROP	TX	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$71.02
ASCENSION SETON BASTROP	TX	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$71.02
ASCENSION SETON BASTROP	TX	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$71.02
ASCENSION SETON BASTROP	TX	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$71.02
ASCENSION SETON BASTROP	TX	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$71.02
ASCENSION SETON BASTROP	TX	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$71.02
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Aetna	HMO/PPO/POS	inpatient	negotiated	$70
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Aetna	UNKNOWN	inpatient	negotiated	$70
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Aetna	HMO/PPO/POS	outpatient	negotiated	$70
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Aetna	UNKNOWN	outpatient	negotiated	$70
BAYLOR COUNTY HOSPITAL DISTRICT	TX	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$65
BAYLOR COUNTY HOSPITAL DISTRICT	TX	wellmed	Medicare Advantage	outpatient	negotiated	$65
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Humana	Medicare Advantage	outpatient	negotiated	$65
BAYLOR COUNTY HOSPITAL DISTRICT	TX	Aetna	Medicare Advantage	outpatient	negotiated	$65
CLAY COUNTY MEMORIAL HOSPITAL	TX	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$63
EASTLAND MEMORIAL HOSPITAL	TX	scott and whte	Commercial	outpatient	negotiated	$59
CLAY COUNTY MEMORIAL HOSPITAL	TX	Cigna	Commercial	outpatient	negotiated	$54
CLAY COUNTY MEMORIAL HOSPITAL	TX	Aetna	Commercial	outpatient	negotiated	$50
EASTLAND MEMORIAL HOSPITAL	TX	Blue Cross Blue Shield	PPO	outpatient	negotiated	$50
EASTLAND MEMORIAL HOSPITAL	TX	Blue Cross Blue Shield	Blue Essentials HMO	outpatient	negotiated	$45
EASTLAND MEMORIAL HOSPITAL	TX	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$41
FALLS COMMUNITY HOSPITAL AND CLINIC	TX	Cigna	HMO/PPO/POS	outpatient	negotiated	$40.4
CLAY COUNTY MEMORIAL HOSPITAL	TX	healthsmart	Commercial	outpatient	negotiated	$40

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).