Office visit, established patient (level 4) cost in Texas
Prices at 153 hospitals in Texas, from their machine-readable files. Here the median cash price is $205 — 6% above the US median ($194), roughly 1.5× the Medicare rate.
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
Price comparison (median)
Chargemaster (list price)
$429
Cash / self-pay
$205
Insurer-negotiated
$188
Medicare pays
$136
$90$928
Median cash $205 · Medicare $136 · bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+
Typical cash price here is $205 — about 1.5× the Medicare rate ($136). Reasonable. A fair cash price is usually within ~2× Medicare ($271).
💡 Asking for the cash price instead of the $429 list price could save about $224 (52%).
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
