Emergency Department Visit with Moderate Level of Medical Decision Making Cost in Texas
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 363 Texas hospitals. CPT 99284. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $1,351
📉 Low $27.85
📈 High $10,806
🏥 363 hospitals
🏛️ 268 with insurance contracts
🇺🇸 Medicare $118
Hospital comparison — Texas
Sorted by cash price (lowest first). Showing top 60 of 363 hospitals.
Billed more than $1,351 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 | — | $60.50 | — | $310 | $290 | — | — | $341 |
| NACOGDOCHES MEMORIAL HOSPITAL NACOGDOCHES |
$68.00 | $125 | — | $182 | — | $410 | $431 | — | $182 |
| NORTH TEXAS MEDICAL CENTER GAINESVILLE |
$73.00 | $146 | $269 | $181 | $117 | $422 | $422 | — | $204 |
| CHRISTUS HEALTH PALESTINE PALESTINE |
$96.00 | — | — | — | — | — | — | — | — |
| BAYLOR SCOTT AND WHITE TEXAS SPINE AND JOINT HOSPITAL TYLER |
$104 | $404 | $400 | — | — | — | — | — | — |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS |
$116 | $151 | $1,460 | $121 | $158 | $175 | $400 | — | — |
| CHAMBERS HEALTH ANAHUAC |
$124 | $50.00 | — | $81.00 | $81.00 | — | — | — | — |
| MEDICAL ARTS HOSPITAL LAMESA |
$155 | — | $81.24 | $81.24 | $116 | $116 | $81.24 | $81.24 | — |
| ASPIRE HOSPITAL CONROE |
$171 | $182 | — | $182 | $132 | $331 | — | — | — |
| UT HEALTH NORTH CAMPUS TYLER TYLER |
$173 | — | — | — | — | — | — | — | — |
| OTTO KAISER MEMORIAL HOSPITAL KENEDY |
$176 | — | — | — | — | — | — | — | — |
| UTMB ANGLETON-DANBURY MEDICAL CENTER GALVESTON |
$192 | — | — | — | — | — | — | — | — |
| VAL VERDE REGIONAL MEDICAL CENTER DEL RIO |
$192 | $178 | $260 | $225 | $266 | $447 | — | — | — |
| GOODALL-WITCHER HEALTHCARE CLIFTON |
$197 | $196 | $209 | — | — | — | — | — | $247 |
| PARKVIEW HOSPITAL WHEELER |
$199 | $176 | $204 | — | $234 | — | — | — | — |
| GUADALUPE REGIONAL MEDICAL CENTER SEGUIN |
$201 | $1,234 | $290 | $111 | $347 | $328 | — | $111 | — |
| TMC BONHAM HOSPITAL BONHAM |
$216 | $425 | $291 | $474 | $318 | — | — | — | — |
| SEYMOUR HOSPITAL SEYMOUR |
$232 | $266 | $216 | $232 | $266 | $216 | — | $332 | — |
| COCHRAN MEMORIAL HOSPITAL MORTON |
$234 | $201 | $129 | — | — | — | — | $129 | — |
| YOAKUM COUNTY HOSPITAL DENVER CITY |
$235 | — | — | — | — | — | — | — | — |
| FALLS COMMUNITY HOSPITAL AND CLINIC MARLIN |
$237 | $1,583 | $207 | $237 | $237 | $382 | — | — | — |
| STONEWALL MEMORIAL HOSPITAL ASPERMONT |
$240 | $291 | $202 | $202 | $256 | $202 | — | — | — |
| UT HEALTH JACKSONVILLE JACKSONVILLE |
$243 | — | — | — | — | — | — | — | — |
| FOX RURAL HEALTH CLINIC CHILDRESS |
$245 | $114 | $123 | $196 | $178 | $205 | — | $139 | — |
| UT HEALTH EAST TEXAS REHABILITATION HOSPITAL TYLER |
$250 | — | — | — | — | — | — | — | — |
| LIBERTY-DAYTON REGIONAL MEDICAL CENTER LIBERTY |
$263 | $357 | $357 | $226 | $226 | $263 | — | — | — |
| UT HEALTH PITTSBURG PITTSBURG |
$267 | — | — | — | — | — | — | — | — |
| STEPHENS MEMORIAL HOSPITAL BRECKENRIDGE |
$271 | $309 | $139 | $309 | $275 | $139 | — | — | — |
| HARDEMAN COUNTY MEMORIAL HOSPITAL QUANAH |
$275 | — | — | — | — | — | — | — | — |
| HARDEMAN COUNTY CLINIC QUANAH |
$275 | — | — | — | — | — | — | — | — |
| UT HEALTH ATHENS ATHENS |
$279 | — | — | — | — | — | — | — | — |
| UT HEALTH QUITMAN QUITMAN |
$283 | — | — | — | — | — | — | — | — |
| HAMILTON GENERAL HOSPITAL HAMILTON |
$287 | $191 | $1,840 | — | — | — | — | — | — |
| RANKIN HOSPITAL MEDICAL CLINIC RANKIN |
$294 | — | — | — | — | — | — | — | — |
| BSA HARRINGTON CANCER CENTER AMARILLO |
$304 | — | — | — | — | — | — | — | — |
| BSA HOSPITAL AMARILLO |
$304 | — | — | — | — | — | — | — | — |
| UT HEALTH CARTHAGE CARTHAGE |
$312 | — | — | — | — | — | — | — | — |
| UT SOUTHWESTERN WILLIAM P. CLEMENTS, JR. UNIVERSITY HOSPITAL DALLAS |
$334 | $122 | $81.24 | $93.43 | $362 | $122 | $81.24 | $119 | $391 |
| NORTHWEST HILLS SURGICAL HOSPITAL AUSTIN |
$349 | $566 | $600 | $1,185 | $1,868 | $1,106 | — | $348 | — |
| ANSON GENERAL HOSPITAL ANSON |
$355 | — | — | — | — | — | — | — | — |
| PALACIOS COMMUNITY MEDICAL CENTER PALACIOS |
$377 | — | — | — | — | — | — | — | — |
| MIDCOAST MEDICAL CENTER BELLVILLE BELLVILLE |
$377 | — | — | — | — | — | — | — | — |
| LLANO REGIONAL HOSPITAL LLANO |
$377 | — | — | — | — | — | — | — | — |
| MID COAST WELLCARE TRINITY TRINITY |
$377 | — | — | — | — | — | — | — | — |
| EL CAMPO MEMORIAL HOSPITAL EL CAMPO |
$377 | — | — | — | — | — | — | — | — |
| EMINENT MEDICAL CENTER RICHARDSON |
$382 | $2,250 | $1,666 | $550 | $729 | — | — | — | — |
| PARKLAND MEMORIAL HOSPITAL DALLAS |
$386 | — | — | — | — | — | — | — | — |
| SOUTH TEXAS HEALTH SYSTEM EDINBURG EDINBURG |
$400 | — | $79.12 | $210 | $81.52 | $261 | $83.12 | — | $799 |
| SOUTH TEXAS HEALTH SYSTEM MCALLEN MCALLEN |
$400 | — | $79.12 | $210 | $81.52 | $261 | $83.12 | — | $799 |
| UT HEALTH HENDERSON HENDERSON |
$410 | — | — | — | — | — | — | — | — |
| DALLAS MEDICAL CENTER DALLAS |
$417 | $417 | $417 | $417 | $417 | $417 | $438 | $417 | — |
| MISSION REGIONAL MEDICAL CENTER MISSION |
$417 | $387 | $417 | $417 | $417 | — | $438 | $417 | — |
| DALLAS REGIONAL MEDICAL CENTER MESQUITE |
$417 | $405 | $417 | $417 | $417 | — | $438 | $417 | $438 |
| HARLINGEN MEDICAL CENTER HARLINGEN |
$417 | $417 | $417 | $417 | $417 | $417 | $438 | $417 | — |
| KNAPP MEDICAL CENTER WESLACO |
$417 | $417 | $417 | — | $417 | — | $438 | $417 | $438 |
| CROSBYTON CLINIC HOSPITAL CROSBYTON |
$426 | $341 | $268 | $81.00 | $320 | — | — | — | — |
| DRISCOLL CHILDREN'S HOSPITAL CORPUS CHRISTI |
$433 | — | — | — | — | — | — | — | — |
| FISHER COUNTY HOSPITAL DISTRICT ROTAN |
$439 | $295 | $517 | $439 | $439 | — | — | — | — |
| UT HEALTH TYLER HOSPITAL TYLER |
$451 | — | — | — | — | — | — | — | — |
| UVALDE MEMORIAL HOSPITAL UVALDE |
$470 | $95.00 | $34.00 | $34.00 | $95.00 | $34.00 | — | $34.00 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99284, 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: $834 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,351 for this?
That is the median of what the 363 Texas hospitals above publish for Emergency department visit with moderate 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 99284 in Texas, Medicare reimburses about $118 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 11.5x 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 moderate level of medical decision making cost in Texas?
- Cash prices for emergency department visit with moderate level of medical decision making (CPT 99284) in Texas range from $27.85 to $10,806, with a median of $1,351. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with moderate 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 moderate 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 99284 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.