Outpatient office visit, established patient, level 5 at Christus Health Southeast Texas

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC 99215 OFC/OUTPATIENT VISIT, EST 5

Beaumont, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Christus Health Southeast Texas’s median price of $284 is 35% above the median hospital's median price ($210), higher than 67% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99215 at Christus Health Southeast Texas

Negotiated rates from the hospital’s own file: 11 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$94.60	$106.50	$32.90 – $171.30
2	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$94.60	$106.50	$32.90 – $171.30
3	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$94.60	$106.50	$32.90 – $171.30
4	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$94.60	$106.50	$32.90 – $171.30
5	Aetna mm percent of total billed charges · outpatientfrom % of charges	$227.04	$255.60	$78.96 – $411.12
6	Bcbs Tx blue advantage hmo fee schedule · outpatient	$276.11	$276.11	$145.00 – $407.21
7	Bcbs Tx heb fee schedule · outpatient	$308.36	$308.36	$161.00 – $455.71
8	Bcbs Tx hmo fee schedule · outpatient	$308.36	$308.36	$161.00 – $455.71
9	Molina chip km percent of total billed charges · outpatientfrom % of charges	$283.80	$319.50	$98.70 – $513.90
10	Molina star km percent of total billed charges · outpatientfrom % of charges	$283.80	$319.50	$98.70 – $513.90
11	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$283.80	$319.50	$98.70 – $513.90
12	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$283.80	$319.50	$98.70 – $513.90
13	Humana choicecare fee schedule · outpatient	$323.75	$323.75	$323.75 – $323.75
14	Bcbs Tx ppo fee schedule · outpatient	$343.74	$343.74	$181.00 – $506.47
15	Bcbs Tx traditional fee schedule · outpatient	$365.03	$365.03	$192.00 – $538.06
16	Cigna new business percent of total billed charges · outpatientfrom % of charges	$368.94	$415.35	$128.31 – $668.07
17	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$397.32	$447.30	$138.18 – $719.46
18	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$425.70	$479.25	$148.05 – $770.85
19	Devoted mm percent of total billed charges · outpatientfrom % of charges	$473.00	$532.50	$164.50 – $856.50
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$567.60	$639.00	$197.40 – $1,028
21	Aetna new business percent of total billed charges · outpatientfrom % of charges	$586.52	$660.30	$203.98 – $1,062
22	First Health ppo percent of total billed charges · outpatientfrom % of charges	$614.90	$692.25	$213.85 – $1,113
23	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$614.90	$692.25	$213.85 – $1,113
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$614.90	$692.25	$213.85 – $1,113
25	Aetna epo percent of total billed charges · outpatientfrom % of charges	$652.74	$734.85	$227.01 – $1,182

Page 1 of 2 · 29 rates

Last updated: Jan 13, 2026

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