Office visit, established patient, 20-29 minutes in Texas
What Texas hospitals charge for office visit, established patient, 20-29 minutes (CPT 99213). Rates sourced from federally-mandated machine-readable files.
Hospitals
45
Rate rows
1,217
Neg. median
$146.08
Min
$1
Max
$8,427
Cash median
$152.95
Across 45 Texas hospitals, the negotiated rate for Office visit, established patient, 20-29 minutes ranges from $1 to $8,427, with a median of $146.08. The interquartile range is $81.5 to $263.25. Cash-pay patients typically pay $152.95; gross charges median $345.
By payer in Texas
Top 30 payers for Office visit, established patient, 20-29 minutes in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 38 | 190 | $113.43 |
| UnitedHealthcare | 30 | 89 | $130.81 |
| Aetna | 23 | 82 | $150.8 |
| Cigna | 18 | 38 | $131.01 |
| Multiplan | 17 | 24 | $286.5 |
| Humana | 16 | 49 | $248.48 |
| First Health | 12 | 25 | $263.25 |
| Medicaid | 11 | 21 | $50.43 |
| commercial | galaxy | all plans | 9 | 15 | $324.7 |
| healthsmart | 7 | 24 | $312.39 |
| commercial | phcs | all plans | 5 | 11 | $261.23 |
| scott & white | 5 | 10 | $219.39 |
| commercial | nppn | all plans | 5 | 5 | $305.6 |
| commercial | usa health network | all plans | 5 | 5 | $324.7 |
| commercial | healthsmart | ppo | 4 | 4 | $267.4 |
| assurant health | 4 | 16 | $370.92 |
| web tpa | 4 | 16 | $252.9 |
| city of san angelo | 4 | 8 | $78.12 |
| superior health plan | 3 | 6 | $80.83 |
| galaxy health network | 3 | 5 | $127 |
| patoka valley tier 1 | 2 | 4 | $71.77 |
| commercial | firstcare | all plans | 2 | 2 | $231 |
| patoka valley tier 2 | 2 | 4 | $71.77 |
| Anthem BCBS | 2 | 22 | $71.77 |
| mhs care connect | 2 | 4 | $50.43 |
| commercial | healthsmart | all plans | 2 | 2 | $267.4 |
| Molina | 2 | 2 | $95.67 |
| health partners open network | 2 | 2 | $83.62 |
| encore exclusive | 2 | 2 | $71.77 |
| wellmed | 2 | 6 | $59.18 |
Hospital comparison — Office visit, established patient, 20-29 minutes in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.