Office visit, established patient, 40-54 min in Texas
What Texas hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
45
Rate rows
1,159
Neg. median
$249.8
Min
$1
Max
$8,427
Cash median
$255.5
Across 45 Texas hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $1 to $8,427, with a median of $249.8. The interquartile range is $137.35 to $434.35. Cash-pay patients typically pay $255.5; gross charges median $511.
By payer in Texas
Top 30 payers for Office visit, established patient, 40-54 min in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 38 | 174 | $210.58 |
| UnitedHealthcare | 30 | 81 | $242 |
| Aetna | 23 | 75 | $232 |
| Cigna | 18 | 33 | $213.63 |
| Multiplan | 17 | 27 | $434.35 |
| Humana | 16 | 42 | $390.21 |
| First Health | 12 | 17 | $439.5 |
| Medicaid | 11 | 23 | $155.27 |
| commercial | galaxy | all plans | 9 | 18 | $544.95 |
| healthsmart | 7 | 15 | $521.54 |
| scott & white | 5 | 6 | $175.8 |
| commercial | nppn | all plans | 5 | 5 | $403.2 |
| commercial | phcs | all plans | 5 | 14 | $471.15 |
| commercial | usa health network | all plans | 5 | 5 | $428.4 |
| assurant health | 4 | 8 | $386.76 |
| city of san angelo | 4 | 4 | $81.45 |
| commercial | healthsmart | ppo | 4 | 4 | $352.8 |
| web tpa | 4 | 8 | $263.7 |
| superior health plan | 3 | 6 | $183.09 |
| galaxy health network | 3 | 7 | $80 |
| patoka valley tier 2 | 2 | 4 | $141.38 |
| commercial | healthsmart | all plans | 2 | 2 | $352.8 |
| commercial | firstcare | all plans | 2 | 2 | $306.6 |
| patoka valley tier 1 | 2 | 4 | $141.38 |
| Anthem BCBS | 2 | 22 | $141.38 |
| Medicare Advantage | 2 | 3 | $130.02 |
| mhs care connect | 2 | 4 | $100.08 |
| health partners open network | 2 | 2 | $183.88 |
| encore exclusive | 2 | 2 | $141.38 |
| Molina | 2 | 2 | $242.77 |
Hospital comparison — Office visit, established patient, 40-54 min in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.