Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 99381 · SEYMOUR, TX

99381 — Init Pm E/m New Pat Infant

What each payer pays Seymour Hospital (CCN 450586) 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.

$134 All-payer median here
$88 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 99381 →
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
   
Humana $263 95.6% 1
Firstcare Medicaid $235 74.9% 1
Texas Medicaid $235 74.9% 1
Anthem (Elevance Health) $235 74.9% 1
Superior HealthPlan $235 74.9% 1
Amerigroup $169 25.6% 1
Aetna $168 24.6% 4
Galaxy Health Network $80 -40.5% 1
Cigna - HMO/PPO $80 -40.5% 1
BCBS - HMO/PPO/Blue Advantage $80 -40.5% 1
Aetna - Meritain $70 -47.9% 1
UnitedHealthcare $65 -51.7% 1
WellMed Medical Management (UHC subsidiary) $65 -51.7% 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.