Office visit, new patient, 45-59 min in Texas
What Texas hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
44
Rate rows
1,046
Neg. median
$275.84
Min
$1
Max
$8,427
Cash median
$261.04
Across 44 Texas hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $1 to $8,427, with a median of $275.84. The interquartile range is $162.17 to $485.48. Cash-pay patients typically pay $261.04; gross charges median $544.08.
By payer in Texas
Top 30 payers for Office visit, new patient, 45-59 min in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 38 | 178 | $274.53 |
| UnitedHealthcare | 33 | 84 | $198.32 |
| Aetna | 23 | 70 | $257.34 |
| Cigna | 18 | 34 | $251.15 |
| Multiplan | 17 | 21 | $441.7 |
| Humana | 16 | 40 | $380.36 |
| First Health | 12 | 17 | $661.5 |
| Medicaid | 11 | 23 | $170.52 |
| commercial | galaxy | all plans | 9 | 12 | $521.55 |
| healthsmart | 7 | 15 | $784.98 |
| commercial | phcs | all plans | 5 | 8 | $392.18 |
| scott & white | 5 | 6 | $264.6 |
| commercial | nppn | all plans | 5 | 5 | $489.6 |
| commercial | usa health network | all plans | 5 | 5 | $520.2 |
| commercial | healthsmart | ppo | 4 | 4 | $428.4 |
| assurant health | 4 | 8 | $582.12 |
| web tpa | 4 | 8 | $396.9 |
| city of san angelo | 4 | 4 | $122.6 |
| superior health plan | 3 | 6 | $202.87 |
| galaxy health network | 3 | 5 | $284 |
| patoka valley tier 1 | 2 | 4 | $162.17 |
| commercial | firstcare | all plans | 2 | 2 | $139.8 |
| patoka valley tier 2 | 2 | 4 | $162.17 |
| Anthem BCBS | 2 | 22 | $162.17 |
| mhs care connect | 2 | 4 | $114.67 |
| commercial | healthsmart | all plans | 2 | 2 | $428.4 |
| Molina | 2 | 2 | $244.74 |
| health partners open network | 2 | 2 | $214.84 |
| encore exclusive | 2 | 2 | $162.17 |
| wellmed | 2 | 5 | $70.38 |
Hospital comparison — Office visit, new patient, 45-59 min in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.