CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Houston Methodist Sugarland Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$155
about 1.6× the $95 Medicare rate · typically $65–$220
modeled estimate · not a bill or quote
What this hospital charges insurers
$162
About the fair price
about $7 over the fair price · 1.7× Medicare
Medicare pays $95 Fair price $155 This hospital $162 Cash price $205 Hospital's list price $409

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 $162

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 $155 (about 1.6× the $95 Medicare rate). Houston Methodist Sugarland Hospital charges insurers about $162, or about $205 in cash — about the fair price. Located in Sugar Land, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $162 170%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 16655 Southwest Freeway, Sugar Land, TX 77479
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals