Outpatient office visit, established patient, level 5 at Hca Houston Healthcare Clear Lake

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

OP VISIT LEVEL 5 EST

FRIENDSWOOD, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Hca Houston Healthcare Clear Lake’s median price of $316 is 50% above the median hospital's median price ($210), higher than 72% 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 Hca Houston Healthcare Clear Lake

Negotiated rates from the hospital’s own file: 9 payers, 32 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	Aetna mcr percent of total billed charges · outpatientfrom % of charges	$58.65	$58.65	$58.65 – $58.65
2	Cigna csn percent of total billed charges · outpatientfrom % of charges	$130.92	$130.92	$130.92 – $130.92
3	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$141.53	$141.53	$141.53 – $141.53
4	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$155.69	$155.69	$155.69 – $155.69
5	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$168.07	$168.07	$168.07 – $168.07
6	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$225.57	$225.57	$225.57 – $225.57
7	Aetna qhpexchange percent of total billed charges · outpatientfrom % of charges	$234.41	$234.41	$234.41 – $234.41
8	Molina hix percent of total billed charges · outpatientfrom % of charges	$238.84	$238.84	$238.84 – $238.84
9	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$263.95	$263.95	$263.95 – $263.95
10	Aetna nbhmo percent of total billed charges · outpatientfrom % of charges	$283.95	$283.95	$283.95 – $283.95
11	Aetna nbpos percent of total billed charges · outpatientfrom % of charges	$283.95	$283.95	$283.95 – $283.95
12	Aetna nbppo percent of total billed charges · outpatientfrom % of charges	$283.95	$283.95	$283.95 – $283.95
13	Blue Cross Blue Shield bav fee schedule · outpatient	$291.02	$291.02	$291.02 – $291.02
14	Aetna commhmo percent of total billed charges · outpatientfrom % of charges	$302.53	$302.53	$302.53 – $302.53
15	Aetna commpos percent of total billed charges · outpatientfrom % of charges	$302.53	$302.53	$302.53 – $302.53
16	Aetna commppo percent of total billed charges · outpatientfrom % of charges	$302.53	$302.53	$302.53 – $302.53
17	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$309.60	$309.60	$309.60 – $309.60
18	Humana hmo fee schedule · outpatient	$315.77	$315.77	$315.77 – $315.77
19	Humana ppo fee schedule · outpatient	$315.77	$315.77	$315.77 – $315.77
20	Aetna oonhmo percent of total billed charges · outpatientfrom % of charges	$354.72	$354.72	$354.72 – $354.72
21	Aetna oonpos percent of total billed charges · outpatientfrom % of charges	$354.72	$354.72	$354.72 – $354.72
22	Aetna oonppo percent of total billed charges · outpatientfrom % of charges	$354.72	$354.72	$354.72 – $354.72
23	Blue Cross Blue Shield eposoa fee schedule · outpatient	$364.34	$364.34	$364.34 – $364.34
24	Blue Cross Blue Shield hmo fee schedule · outpatient	$364.34	$364.34	$364.34 – $364.34
25	Blue Cross Blue Shield ppo fee schedule · outpatient	$364.34	$364.34	$364.34 – $364.34

Page 1 of 2 · 32 rates

Last updated: Mar 1, 2026

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