Emergency Department Visit with High Level of Medical Decision Making Cost in Texas
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 366 Texas hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $2,007
📉 Low $27.85
📈 High $10,806
🏥 366 hospitals
🏛️ 270 with insurance contracts
🇺🇸 Medicare $171
Hospital comparison — Texas
Sorted by cash price (lowest first). Showing top 60 of 366 hospitals.
Billed more than $2,007 for this? That gap is evidence.
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| Hospital | Cash | BCBS | UHC | Aetna | Cigna | Humana | Molina | Centene | MultiPlan |
|---|---|---|---|---|---|---|---|---|---|
| NOCONA GENERAL HOSPITAL NOCONA |
$27.85 | — | $49.00 | — | $458 | $429 | — | — | $503 |
| NACOGDOCHES MEMORIAL HOSPITAL NACOGDOCHES |
$99.00 | $181 | $1,400 | $263 | — | $595 | $625 | — | $263 |
| METHODIST MIDLOTHIAN MEDICAL CENTER MIDLOTHIAN |
$116 | — | — | — | — | — | — | — | — |
| METHODIST SOUTHLAKE HOSPITAL SOUTHLAKE |
$116 | — | — | — | — | — | — | — | — |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS |
$116 | $151 | $1,850 | $175 | $158 | $175 | $576 | — | — |
| METHODIST CELINA MEDICAL CENTER CELINA |
$116 | — | — | — | — | — | — | — | — |
| METHODIST CHARLTON MEDICAL CENTER DALLAS |
$116 | — | — | — | — | — | — | — | — |
| METHODIST DALLAS MEDICAL CENTER DALLAS |
$116 | — | — | — | — | — | — | — | — |
| METHODIST RICHARDSON MEDICAL CENTER CAMPUS FOR CONTINUING CARE RICHARDSON |
$116 | — | — | — | — | — | — | — | — |
| METHODIST MANSFIELD MEDICAL CENTER MANSFIELD |
$116 | — | — | — | — | — | — | — | — |
| METHODIST RICHARDSON MEDICAL CENTER RICHARDSON |
$116 | — | — | — | — | — | — | — | — |
| METHODIST LEGACY ER AND URGENT CARE COPPELL COPPELL |
$116 | — | — | — | — | — | — | — | — |
| BAYLOR SCOTT AND WHITE TEXAS SPINE AND JOINT HOSPITAL TYLER |
$119 | $585 | $580 | — | — | — | — | — | — |
| NORTH TEXAS MEDICAL CENTER GAINESVILLE |
$125 | $250 | $460 | $310 | $200 | $612 | $612 | — | $350 |
| CHRISTUS HEALTH PALESTINE PALESTINE |
$142 | — | — | — | — | — | — | — | — |
| HARDEMAN COUNTY MEMORIAL HOSPITAL QUANAH |
$175 | — | — | — | — | — | — | — | — |
| CHAMBERS HEALTH ANAHUAC |
$182 | $73.00 | — | $118 | $118 | — | — | — | — |
| CHRISTUS WEST BEAUMONT BEAUMONT |
$182 | $614 | $55.20 | $614 | $1,592 | $614 | $166 | $614 | $386 |
| CHRISTUS SOUTHEAST TEXAS ORTHOPEDIC SPECIALTY CENTER SUITE 290 |
$182 | $614 | $55.20 | $614 | $1,592 | $614 | $166 | $614 | $386 |
| CHRISTUS HOSPITAL ORANGE ORANGE |
$182 | $614 | $55.20 | $614 | $1,592 | $614 | $166 | $614 | $386 |
| CHRISTUS SOUTHEAST TEXAS ST. ELIZABETH BEAUMONT |
$182 | $614 | $55.20 | $614 | $1,592 | $614 | $166 | $614 | $386 |
| CHRISTUS ST. MARY OUTPATIENT MID-COUNTY PORT ARTHUR |
$182 | $614 | $55.20 | $614 | $1,592 | $614 | $166 | $614 | $386 |
| ROLLING PLAINS MEMORIAL HOSPITAL SWEETWATER |
$183 | $226 | $213 | $240 | $227 | $197 | — | — | — |
| MEDICAL ARTS HOSPITAL LAMESA |
$231 | — | $101 | $101 | $168 | $168 | $101 | $101 | — |
| ASPIRE HOSPITAL CONROE |
$249 | $484 | — | $484 | $352 | $880 | — | — | — |
| HENDRICK MEDICAL CENTER SOUTH ABILENE |
$272 | $48.92 | $106 | $171 | $3,990 | — | — | — | $242 |
| HENDRICK MEDICAL CENTER ABILENE |
$272 | $48.92 | $106 | $171 | $3,990 | — | — | — | $242 |
| UT HEALTH EAST TEXAS REHABILITATION HOSPITAL TYLER |
$274 | — | — | — | — | — | — | — | — |
| VAL VERDE REGIONAL MEDICAL CENTER DEL RIO |
$279 | $258 | $378 | $326 | $386 | $638 | — | — | — |
| UTMB ANGLETON-DANBURY MEDICAL CENTER GALVESTON |
$280 | — | — | — | — | — | — | — | — |
| HENDRICK MEDICAL CENTER BROWNWOOD BROWNWOOD |
$283 | $201 | $128 | $240 | — | — | — | $1,307 | $254 |
| UT HEALTH NORTH CAMPUS TYLER TYLER |
$289 | — | — | — | — | — | — | — | — |
| PARKVIEW HOSPITAL WHEELER |
$292 | $258 | $299 | — | $344 | — | — | — | — |
| GUADALUPE REGIONAL MEDICAL CENTER SEGUIN |
$298 | $1,807 | $429 | $160 | $515 | $486 | — | $160 | — |
| OTTO KAISER MEMORIAL HOSPITAL KENEDY |
$300 | — | — | — | — | — | — | — | — |
| COLUMBUS COMMUNITY HOSPITAL COLUMBUS |
$309 | $2,280 | — | — | — | — | — | — | — |
| DRISCOLL CHILDREN'S HOSPITAL CORPUS CHRISTI |
$313 | — | — | — | — | — | — | — | — |
| TMC BONHAM HOSPITAL BONHAM |
$319 | $629 | $431 | $702 | $470 | — | — | — | — |
| STONEWALL MEMORIAL HOSPITAL ASPERMONT |
$325 | $394 | $702 | $702 | $346 | $702 | — | — | — |
| HAMILTON GENERAL HOSPITAL HAMILTON |
$338 | $226 | — | — | — | — | — | — | — |
| UT HEALTH ATHENS ATHENS |
$339 | — | — | — | — | — | — | — | — |
| LIMESTONE MEDICAL CENTER HAMLIN |
$339 | $164 | $164 | $452 | $270 | $164 | — | — | — |
| FALLS COMMUNITY HOSPITAL AND CLINIC MARLIN |
$344 | $2,270 | $301 | $344 | $344 | $548 | — | — | — |
| COCHRAN MEMORIAL HOSPITAL MORTON |
$345 | $297 | $190 | — | — | — | — | $190 | — |
| YOAKUM COUNTY HOSPITAL DENVER CITY |
$352 | — | — | — | — | — | — | — | — |
| GOODALL-WITCHER HEALTHCARE CLIFTON |
$352 | $341 | $364 | — | — | — | — | — | $429 |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY EDINBURG |
$360 | — | — | — | — | — | — | — | — |
| SEYMOUR HOSPITAL SEYMOUR |
$360 | $412 | $335 | $360 | $412 | $335 | — | $470 | — |
| FOX RURAL HEALTH CLINIC CHILDRESS |
$364 | $167 | $182 | $205 | $264 | $205 | — | $139 | — |
| BSA HARRINGTON CANCER CENTER AMARILLO |
$365 | — | — | — | — | — | — | — | — |
| BSA HOSPITAL AMARILLO |
$365 | — | — | — | — | — | — | — | — |
| UT HEALTH JACKSONVILLE JACKSONVILLE |
$366 | — | — | — | — | — | — | — | — |
| GRAHAM REGIONAL MEDICAL CENTER GRAPEVINE |
$368 | $250 | $1,910 | $239 | $239 | — | — | $110 | — |
| HARDEMAN COUNTY CLINIC QUANAH |
$375 | — | — | — | — | — | — | — | — |
| LIBERTY-DAYTON REGIONAL MEDICAL CENTER LIBERTY |
$383 | $520 | $520 | $328 | $328 | $383 | — | — | — |
| UT HEALTH PITTSBURG PITTSBURG |
$419 | — | — | — | — | — | — | — | — |
| NORTHWEST HILLS SURGICAL HOSPITAL AUSTIN |
$423 | $170 | $170 | $2,368 | $529 | $1,668 | — | $435 | — |
| RANKIN HOSPITAL MEDICAL CLINIC RANKIN |
$435 | — | — | — | — | — | — | — | — |
| UT HEALTH QUITMAN QUITMAN |
$444 | — | — | — | — | — | — | — | — |
| UT HEALTH CARTHAGE CARTHAGE |
$490 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $2,007 for this?
That is the median of what the 366 Texas hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Texas, Medicare reimburses about $171 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Texas range from $27.85 to $10,806 — that means hospital cash prices are typically 11.8x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Texas?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Texas range from $27.85 to $10,806, with a median of $2,007. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Texas?
- The cheapest Texas hospital published cash price for this procedure is $27.85. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in Texas
Methodology. Cash prices and insurance-negotiated rates published by each Texas facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.