CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Tops Surgical Specialty Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$35
about 0.9× the $40 Medicare rate · typically $15–$73
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $1 under the fair price · 0.8× Medicare
Medicare pays $40 Fair price $35 This hospital $34

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 $13 Priciest $34

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

A fair price for a Diagnostic procedure preparation is about $35 (about 0.9× the $40 Medicare rate). Tops Surgical Specialty Hospital charges insurers about $34 — about the fair price. Located in Houston, 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✓ Cigna AetnaHumanaKaiser 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 $34 - $53 84%
Blue Cross Blue Shieldmajor $33 - $42 82%
Cignamajor $181 - $190 448%
Ambetter (Centene) $21 52%
Health Net $25 62%
Oscar Health $19 47%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 17080 Red Oak Drive, Houston, TX 77090
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals