CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Texas Health Presbyterian Hospital Kaufman

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$100
about 1.1× the $95 Medicare rate · typically $70–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $95 Fair price $100 This hospital $97 Cash price $433 Hospital's list price $721

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 $34 Priciest $97

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 $100 (about 1.1× the $95 Medicare rate). Texas Health Presbyterian Hospital Kaufman charges insurers about $97, or about $433 in cash — about the fair price. Located in Kaufman, 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 $24 - $649 25%
Blue Cross Blue Shieldmajor $24 - $426 25%
Aetnamajor $106 - $830 111%
Cignamajor $142 - $1,114 149%
Humanamajor $96 101%
Amerigroup $24 - $111 25%
Cigna HealthSpring $94 99%
Molina $26 - $120 27%
WellCare $25 - $116 26%
+ 6 smaller / regional plans $24 - $1,042
Excludes 4 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

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Facility Profile & Credentials

  • Address: 850 Ed Hall, Kaufman, TX 75142
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals