CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Rio Grande Regional Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$90
about 0.9× the $95 Medicare rate · typically $49–$192
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $90 Cash price $130 Hospital's list price $130
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $23 - $84 | 24% |
| Blue Cross Blue Shieldmajor | $58 - $303 | 61% |
| Aetnamajor | $34 - $85 | 36% |
| Humanamajor | $281 | 295% |
| Healthcare Highways | $33 - $47 | 35% |
| Molina | $35 - $50 | 37% |
| + 10 smaller / regional plans | $22 - $600 |
Government programs also on file: Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Rio Grande Regional Hospital
Compare: Office visit, established patient (20-29 min) at other TX hospitals
- Northwest Texas Hospital · Amarillo $34
- Ochiltree General Hospital · Perryton $43
- PAM Specialty Hospital of Texarkana North · Texarkana $47
- Riceland Medical Center · Winnie $48
- Cook Childrens Medical Center · Fort Worth $51
- Cook Childrens Medical Center Prosper · Prosper $51
- Peterson Regional Medical Center · Kerrville $52
- North Texas Medical Center · Gainesville $52
Insurance negotiated median for the same procedure, sorted lowest first.