CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: HCA Houston Healthcare Southeast

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$241
about 1.8× the $136 Medicare rate · typically $97–$284
modeled estimate · not a bill or quote
What this hospital charges insurers
$270
About the fair price
about $29 over the fair price · 2.0× Medicare
Medicare pays $136 Fair price $241 This hospital $270 Cash price $1,318 Hospital's list price $1,318

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 $48 Priciest $270

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $241 (about 1.8× the $136 Medicare rate). HCA Houston Healthcare Southeast charges insurers about $270, or about $1,318 in cash — about the fair price. Located in Pasadena, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $42 - $731 31%
Blue Cross Blue Shieldmajor $73 - $568 54%
Aetnamajor $67 - $703 49%
Cignamajor $167 - $1,299 123%
Humanamajor $270 199%
Amerigroup $29 - $227 21%
Fidelis Care $94 - $731 69%
Healthcare Highways $53 - $414 39%
Molina $56 - $438 41%
+ 16 smaller / regional plans $27 - $1,380
Government programs also on file: Medicaid.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals