Office visit, established patient, 5 min in Texas
What Texas hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.
Hospitals
52
Rate rows
1,734
Neg. median
$124.25
Min
$1
Max
$8,427
Cash median
$80.15
Across 52 Texas hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $1 to $8,427, with a median of $124.25. The interquartile range is $37.25 to $212. Cash-pay patients typically pay $80.15; gross charges median $226.
By payer in Texas
Top 30 payers for Office visit, established patient, 5 min in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 42 | 231 | $32.89 |
| UnitedHealthcare | 38 | 140 | $115.37 |
| Aetna | 25 | 114 | $125.92 |
| Cigna | 22 | 57 | $115.5 |
| Humana | 19 | 71 | $158.39 |
| Multiplan | 17 | 30 | $171.75 |
| Medicaid | 15 | 44 | $125.95 |
| First Health | 13 | 35 | $207 |
| commercial | galaxy | all plans | 9 | 18 | $207.45 |
| healthsmart | 7 | 32 | $197.2 |
| commercial | nppn | all plans | 5 | 5 | $183.2 |
| healthcare highways [2210] | 5 | 18 | $155.58 |
| umr [2035] | 5 | 9 | $260.17 |
| healthscope benefits [2290] | 5 | 7 | $118.26 |
| commercial | usa health network | all plans | 5 | 5 | $194.65 |
| commercial | phcs | all plans | 5 | 14 | $172.13 |
| scott & white | 5 | 14 | $82.8 |
| web tpa [2115] | 5 | 11 | $256.23 |
| black lung [6055] | 4 | 4 | $89.88 |
| group pension admin [1450] | 4 | 4 | $160.01 |
| lucent health [6000] | 4 | 4 | $89.88 |
| assurant health | 4 | 24 | $182.16 |
| phcs [1780] | 4 | 5 | $304.5 |
| commercial | healthsmart | ppo | 4 | 4 | $160.3 |
| amerigroup commercial [5055] | 4 | 4 | $89.88 |
| city of san angelo | 4 | 12 | $38.36 |
| web tpa | 4 | 24 | $124.2 |
| aarp [1000] | 3 | 3 | $68.24 |
| galaxy health network | 3 | 7 | $80 |
| tml [1980] | 3 | 3 | $266.66 |
Hospital comparison — Office visit, established patient, 5 min in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.