CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Northwest Texas Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$147

about 1.1× the $136 Medicare rate · typically $59–$458

modeled estimate · not a bill or quote

What this hospital charges insurers

$48

Below the fair price — a good deal

about $99 under the fair price · 0.4× Medicare

Medicare pays $136 Fair price $147 This hospital $48 Cash price $465 Hospital's list price $1,163

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 $48 Priciest $80

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 $147 (about 1.1× the $136 Medicare rate). Northwest Texas Hospital charges insurers about $48, or about $465 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	$224	165%
Aetnamajor	$256	189%
Cignamajor	$413	305%
Amerigroup	$48	35%
Baylor Scott & White	$314	232%
Molina	$47	35%
+ 2 smaller / regional plans	$48 - $325

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 465), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Northwest Texas Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northwest Texas Hospital

Compare: Office visit, established patient (30-39 min) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.