CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Texas Health Presbyterian Hospital Allen

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$142
about 1.0× the $136 Medicare rate · typically $106–$194
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
about $4 under the fair price · 1.0× Medicare
Medicare pays $136 Fair price $142 This hospital $138 Cash price $337 Hospital's list price $562

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 $48 Priciest $138

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 (30-39 min) is about $142 (about 1.0× the $136 Medicare rate). Texas Health Presbyterian Hospital Allen charges insurers about $138, or about $337 in cash — about the fair price. Located in Allen, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $24 - $797 18%
Blue Cross Blue Shieldmajor $24 - $657 18%
Aetnamajor $85 - $1,020 63%
Cignamajor $115 - $1,369 85%
Humanamajor $137 101%
Amerigroup $24 - $168 18%
Cigna HealthSpring $134 99%
Molina $26 - $181 19%
WellCare $25 - $176 18%
+ 6 smaller / regional plans $24 - $1,280
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1105 Central Expressway North, Allen, TX 75013
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals