CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Baylor Scott and White Surgical Hospital at Sherma
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$130
about 1.4× the $95 Medicare rate · typically $77–$185
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $130 Cash price $53 Hospital's list price $89
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
0 of 6 major insurers have a published price at this hospital
UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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 |
|---|---|---|
| No insurance-company prices are published for this procedure. | ||
| + 1 smaller / regional plan | $129 | |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Baylor Scott and White Surgical Hospital at Sherma
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.