Extended visual field xm cost in Texas
EXTENDED VISUAL FIELD XM · CPT 92083
$63.00
lowest in Texas
$246.29
state median
$286.50
highest in Texas
$162.75
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Covenant Hospital Plainview | Plainview | $63.00 | $129.64 – $218.65 | 5 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $246.29 | $65.68 – $316.45 | 26 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $246.29 | $65.68 – $316.45 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $246.29 | $61.57 – $316.45 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $246.29 | $45.15 – $316.45 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $246.29 | $45.15 – $316.45 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $246.29 | $69.78 – $316.45 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $246.29 | $114.93 – $307.86 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $246.29 | $49.26 – $316.45 | 26 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $246.29 | $45.15 – $316.45 | 24 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $246.29 | $52.71 – $316.45 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $246.29 | $61.57 – $316.45 | 24 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $246.29 | $32.84 – $316.45 | 24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $246.29 | $69.78 – $316.45 | 28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $265.67 | $53.13 – $332.08 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $265.67 | $48.71 – $398.50 | 24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $265.67 | $88.56 – $398.50 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $265.67 | $84.13 – $354.22 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $286.50 | $91.97 – $429.75 | 26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $286.50 | $148.03 – $429.75 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $286.50 | $57.30 – $358.12 | 26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $286.50 | $71.62 – $429.75 | 29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $286.50 | $58.97 – $429.75 | 27 |
| Adventhealth Rollins Brook | Lampasas | not published | $419.77 – $419.77 | 1 |
| Covenant Medical Center | Lubbock | not published | $133.65 – $371.79 | 4 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $37.76 – $452.47 | 6 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $37.76 – $452.47 | 6 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $37.76 – $452.47 | 7 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $255.13 – $338.27 | 2 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $37.76 – $452.47 | 29 |
| Covenant Children's Hospital | Lubbock | not published | $371.79 – $371.79 | 1 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $255.13 – $338.27 | 2 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $37.76 – $452.47 | 30 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $37.76 – $452.47 | 6 |
| Covenant Hospital Levelland | Levelland | not published | $129.64 – $218.65 | 5 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $255.13 – $338.27 | 2 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $149.48 – $267.75 | 2 |
| HCA HOUSTON CONROE | CONROE | not published | $255.13 – $338.27 | 2 |
| Adventhealth Central Texas | Killeen | not published | $133.65 – $419.77 | 4 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $37.76 – $452.47 | 6 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $37.76 – $452.47 | 6 |
| Texas Health Hospital Mansfield | Mansfield | not published | $149.48 – $267.31 | 2 |
| Ascension Providence | Waco | not published | $126.33 – $269.30 | 15 |
| HCA HOUSTON WEST | HOUSTON | not published | $255.13 – $338.27 | 2 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $255.13 – $338.27 | 2 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $255.13 – $338.27 | 2 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $255.13 – $338.27 | 2 |
| HCA HOUSTON PEARLAND | Pearland | not published | $255.13 – $338.27 | 2 |