CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: White Rock Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$80
about 0.8× the $95 Medicare rate · typically $46–$218
modeled estimate · not a bill or quote
What this hospital charges insurers
$80
About the fair price
0.8× Medicare
Medicare pays $95 Fair price $80 This hospital $80 Cash price $143 Hospital's list price $211

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 $80

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

A fair price for a Office visit, established patient (20-29 min) is about $80 (about 0.8× the $95 Medicare rate). White Rock Medical Center charges insurers about $80, or about $143 in cash — about the fair price. Located in Dallas, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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
Blue Cross Blue Shieldmajor $63 - $84 66%
Cignamajor $152 160%
Amerigroup $19 20%
Baylor Scott & White $80 84%
Molina $152 160%
+ 1 smaller / regional plan $152
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9440 Poppy Drive, Dallas, TX 75218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals