CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Texas Health Hospital Mansfield
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$110
about 1.2× the $95 Medicare rate · typically $64–$385
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $110 Cash price $273 Hospital's list price $545
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $623 | 654% |
| Blue Cross Blue Shieldmajor | $171 - $623 | 180% |
| Aetnamajor | $293 | 308% |
| Cignamajor | $305 - $605 | 320% |
| Amerigroup | $593 | 623% |
| Molina | $623 | 654% |
| WellCare | $653 | 686% |
Self-Pay How to get the cash price
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Other Procedures at Texas Health Hospital Mansfield
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.