Younghoon CHO, MD
Plastic Surgery Physician · Houston, TX 77090 · NPI 1427137694 · 1 payer file
83%of Medicare
Cigna — Texas Connect (individual & family) pays Younghoon CHO, MD $79.91 for a 99213 — Office visit, established patient, low complexity. Medicare pays $96.33 for the same service in this locality. Commercial insurance is widely assumed to pay above Medicare. The file lists 2 contract rows for this clinician and code, from $67.20 to $92.63; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston plastic surgery physicians, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Cigna — Texas Connect (individual & family) | $79.91median of 2 rows · $67.20–$92.63 | $96.33 | 83% | above 59% of 1,164 all Houston clinicians on this plan |
| 99214Office visit, established patient, moderate complexity | Cigna — Texas Connect (individual & family) | $114.95median of 2 rows · $99.09–$130.80 | $137.41 | 84% | above 58% of 1,164 all Houston clinicians on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston plastic surgery physicians, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $72.38median of 2 rows · $68.31–$76.46 | $82.68 | 88% | not typically billed by plastic surgery physicians |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Cigna — Texas Connect (individual & family) | $121.33median of 2 rows · $114.53–$128.12 | $138.62 | 88% | not typically billed by plastic surgery physicians |
| 70553MRI brain, with and without contrast | Cigna — Texas Connect (individual & family) | $281.74 | $317.92 | 89% | not typically billed by plastic surgery physicians |
| 72148MRI lumbar spine, without contrast | Cigna — Texas Connect (individual & family) | $169.44 | $192.38 | 88% | not typically billed by plastic surgery physicians |
| 74177CT abdomen and pelvis, with contrast | Cigna — Texas Connect (individual & family) | $267.39 | $300.72 | 89% | not typically billed by plastic surgery physicians |
| 77067Screening mammography, bilateral | Cigna — Texas Connect (individual & family) | $109.95 | $126.38 | 87% | not typically billed by plastic surgery physicians |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that Younghoon CHO, MD performs these services, and they are kept out of the benchmark above.