CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Methodist Midlothian Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$110
about 1.2× the $95 Medicare rate · typically $69–$133
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
About the fair price
about $5 over the fair price · 1.2× Medicare
Medicare pays $95 Fair price $110 This hospital $115 Cash price $211 Hospital's list price $422

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 $115

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 $110 (about 1.2× the $95 Medicare rate). Methodist Midlothian Medical Center charges insurers about $115, or about $211 in cash — about the fair price. Located in Midlothian, 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 $61 - $142 64%
Blue Cross Blue Shieldmajor $89 - $142 93%
Aetnamajor $93 - $134 98%
Cignamajor $106 - $140 111%
Humanamajor $142 149%
Ambetter (Centene) $98 103%
Bright Health $80 84%
Friday Health $98 103%
Molina $83 87%
Oscar Health $75 79%
WellCare $134 141%
+ 22 smaller / regional plans $72 - $214
Government programs also on file: Medicare, Medicaid.
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: 1201 E Highway 287, Midlothian, TX 76065
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals