Outpatient office visit, established patient at CHRISTUS Hospital - Orange

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 99213 OFC/OUTPATIENT VISIT, EST 3

Orange, TX

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Pricing by billing methodology

Price type

How this price compares nationally

CHRISTUS Hospital - Orange’s median price of $163 is 32% above the median hospital's median price ($124), higher than 66% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at CHRISTUS Hospital - Orange

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	$57.10	$62.20	$13.10 – $135.90
2	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$57.10	$62.20	$13.10 – $135.90
3	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$57.10	$62.20	$13.10 – $135.90
4	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$57.10	$62.20	$13.10 – $135.90
5	Aetna mm percent of total billed charges · outpatientfrom % of charges	$137.04	$149.28	$31.44 – $326.16
6	Humana choicecare fee schedule · outpatient	$162.96	$162.96	$162.96 – $162.96
7	Bcbs Tx blue advantage hmo fee schedule · outpatient	$166.18	$166.18	$145.00 – $187.36
8	Bcbs Tx heb fee schedule · outpatient	$185.34	$185.34	$161.00 – $209.68
9	Bcbs Tx hmo fee schedule · outpatient	$185.34	$185.34	$161.00 – $209.68
10	Molina chip km percent of total billed charges · outpatientfrom % of charges	$171.30	$186.60	$39.30 – $407.70
11	Molina star km percent of total billed charges · outpatientfrom % of charges	$171.30	$186.60	$39.30 – $407.70
12	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$171.30	$186.60	$39.30 – $407.70
13	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$171.30	$186.60	$39.30 – $407.70
14	Bcbs Tx ppo fee schedule · outpatient	$207.02	$207.02	$181.00 – $233.03
15	Bcbs Tx traditional fee schedule · outpatient	$219.78	$219.78	$192.00 – $247.56
16	Cigna new business percent of total billed charges · outpatientfrom % of charges	$222.69	$242.58	$51.09 – $530.01
17	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$239.82	$261.24	$55.02 – $570.78
18	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$256.95	$279.90	$58.95 – $611.55
19	Devoted mm percent of total billed charges · outpatientfrom % of charges	$285.50	$311.00	$65.50 – $679.50
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$342.60	$373.20	$78.60 – $815.40
21	Aetna new business percent of total billed charges · outpatientfrom % of charges	$354.02	$385.64	$81.22 – $842.58
22	First Health ppo percent of total billed charges · outpatientfrom % of charges	$371.15	$404.30	$85.15 – $883.35
23	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$371.15	$404.30	$85.15 – $883.35
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$371.15	$404.30	$85.15 – $883.35
25	Aetna epo percent of total billed charges · outpatientfrom % of charges	$393.99	$429.18	$90.39 – $937.71

Page 1 of 2 · 29 rates

Last updated: Jan 13, 2026

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