CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: North Texas Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.8× the $118 Medicare rate · typically $67–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$77
Below the fair price — a good deal
about $12 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $89 This hospital $77 Cash price $66 Hospital's list price $264

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $54 Priciest $77

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $89 (about 0.8× the $118 Medicare rate). North Texas Medical Center charges insurers about $77, or about $66 in cash — below the fair price — a good deal. Located in Gainesville, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $243 207%
Blue Cross Blue Shieldmajor $77 - $132 65%
Aetnamajor $164 139%
Cignamajor $106 90%
Healthcare Highways $158 134%
+ 1 smaller / regional plan $224
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Hospital Blvd, Gainesville, TX 76240
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals