Initial hospital care, low complexity in Texas
What Texas hospitals charge for initial hospital care, low complexity (CPT 99221). Rates sourced from federally-mandated machine-readable files.
Hospitals
23
Rate rows
309
Neg. median
$97.63
Min
$15.87
Max
$8,427
Cash median
$183.73
Across 23 Texas hospitals, the negotiated rate for Initial hospital care, low complexity ranges from $15.87 to $8,427, with a median of $97.63. The interquartile range is $77.17 to $226.16. Cash-pay patients typically pay $183.73; gross charges median $252.89.
By payer in Texas
Top 30 payers for Initial hospital care, low complexity in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 15 | 45 | $245.4 |
| Aetna | 11 | 27 | $155 |
| UnitedHealthcare | 10 | 26 | $113.35 |
| Cigna | 9 | 11 | $100 |
| Humana | 7 | 12 | $92.56 |
| Medicaid | 5 | 12 | $71.02 |
| Multiplan | 2 | 2 | $284 |
| encore exclusive | 2 | 2 | $97.63 |
| wellmed | 2 | 2 | $79.54 |
| health partners open network | 2 | 2 | $167.73 |
| patoka valley tier 2 | 2 | 4 | $97.63 |
| Anthem BCBS | 2 | 22 | $97.63 |
| galaxy health network | 2 | 3 | $80 |
| patoka valley tier 1 | 2 | 4 | $97.63 |
| mhs care connect | 2 | 4 | $71.02 |
| prime health | 1 | 1 | $225 |
| private health care systems (phcs) | 1 | 1 | $354 |
| provider select | 1 | 1 | $213 |
| scott and white | 1 | 1 | $96.47 |
| scott and white health plan | 1 | 1 | $354 |
| scott and whte | 1 | 1 | $59 |
| superior health | 1 | 1 | $100 |
| superior health plan | 1 | 2 | $333.5 |
| three rivers provider network | 1 | 1 | $334 |
| wellpoint | 1 | 1 | $259 |
| amerivantage | 1 | 1 | $74.73 |
| capstar | 1 | 1 | $389 |
| choicecare | 1 | 1 | $314 |
| First Health | 1 | 1 | $150 |
| firstcare | 1 | 1 | $354 |
Hospital comparison — Initial hospital care, low complexity in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.