CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Round Rock Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$184
about 1.9× the $95 Medicare rate · typically $70–$218
modeled estimate · not a bill or quote
What this hospital charges insurers
$197
About the fair price
about $13 over the fair price · 2.1× Medicare
Medicare pays $95 Fair price $184 This hospital $197 Cash price $1,725 Hospital's list price $1,725

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 $197

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 $184 (about 1.9× the $95 Medicare rate). Round Rock Medical Center charges insurers about $197, or about $1,725 in cash — about the fair price. Located in Round Rock, 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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $338 - $940 355%
Blue Cross Blue Shieldmajor $134 - $667 141%
Aetnamajor $480 - $1,154 504%
Amerigroup $29 30%
Health Net $883 - $1,358 928%
Healthcare Highways $395 - $627 415%
Moda Health $319 - $773 335%
+ 22 smaller / regional plans $258 - $1,881
Government programs also on file: Medicaid.
Excludes 8 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: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals