Payer comparison · CPT 99291 · CARTHAGE, TX

99291 — Pr Critical Care 30-74 Minutes

What each payer pays UT HEALTH EAST TEXAS CARTHAGE HOSPITAL (CCN 450210) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$3,350 All-payer median here

$480 Cash / self-pay here

30 payer/plan-name variants

← This hospital National rates for 99291 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

BCBS [1155]	$5,160	54.1%	4
Amerigroup	$3,350	0.0%	3
Aetna	$3,350	0.0%	2
Superior HealthPlan	$3,350	0.0%	1
TML [1980]	$3,350	0.0%	1
UnitedHealthcare	$3,350	0.0%	5
US DEPARTMENT OF LABOR - BLACK LUNG	$3,350	0.0%	1
WebTPA Employer Services LLC	$3,350	0.0%	1
WellCare Health Plans	$3,350	0.0%	1
BCBS MEDICAID [1165]	$3,350	0.0%	1
BCBS MEDICARE REPLACEMENT [1160]	$3,350	0.0%	1
Centene	$3,350	0.0%	1
Centers for Medicare & Medicaid Services	$3,350	0.0%	3
Cigna Healthcare	$3,350	0.0%	4
GROUP & PENSION ADMINISTRATORS	$3,350	0.0%	1
Humana	$3,350	0.0%	2
LUCENT HEALTH	$3,350	0.0%	1
MAIL HANDLERS BENEFIT PLAN	$3,350	0.0%	1
MANAGED MEDICAID [3845]	$3,350	0.0%	1
MANAGED MEDICARE [1600]	$3,350	0.0%	1
Meritain Health	$3,350	0.0%	1
Molina Healthcare	$3,350	0.0%	1
PARKLAND COMMUNITY HEALTH PLAN (MEDICAID MANAGED CARE)	$3,350	0.0%	1
PHCS (Private Healthcare Systems)	$3,350	0.0%	1
WORKER'S COMP [2125]	$3,196	-4.6%	2
GOLDEN RULE INSURANCE	$3,043	-9.2%	1
UMR (UnitedHealthcare TPA)	$3,043	-9.2%	1
UNICARE	$3,043	-9.2%	1
ANDREWS CENTER BEHAVIORAL HEALTH [3950]	$1,099	-67.2%	1
Healthfirst, Inc.	$1,099	-67.2%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.