CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Northwest Texas Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 1.2× the $95 Medicare rate · typically $45–$338
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $76 under the fair price · 0.4× Medicare
Medicare pays $95 Fair price $110 This hospital $34 Cash price $364 Hospital's list price $909

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Lowest price of the 9 TX hospitals we have prices for — a strong deal.

Cheapest $34 Priciest $52

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 (20-29 min) is about $110 (about 1.2× the $95 Medicare rate). Northwest Texas Hospital charges insurers about $34, or about $364 in cash — below the fair price — a good deal. Located in Amarillo, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $175 184%
Aetnamajor $200 210%
Cignamajor $323 339%
Amerigroup $34 36%
Baylor Scott & White $245 257%
Molina $33 35%
+ 2 smaller / regional plans $34 - $202
Excludes 1 rental-network / third-party entry (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: 1501 S Coulter St, Amarillo, TX 79106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals