Outpatient new patient office visit, high complexity at Hca Houston Healthcare Conroe

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 NP

CONROE, TX

See all hospitals reporting CPT 99205 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Hca Houston Healthcare Conroe’s median price of $631 is 146% above the median hospital's median price ($257), higher than 92% of the 1,937 hospitals reporting CPT 99205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99205 at Hca Houston Healthcare Conroe

Negotiated rates from the hospital’s own file: 9 payers, 33 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.

Filter by billing methodology

Filter by billing class

#
1	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$134	$134	$26	20%	—	$108 – $160
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$134	$134	$26	20%	—	$108 – $160
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$134	$134	$26	20%	—	$108 – $160
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$134	$134	$26	20%	—	$108 – $160
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$134	$134	$26	20%	—	$108 – $160
6	Aetna mcr percent of total billed charges · outpatientfrom % of charges	$148	$148	$29	20%	—	$119 – $177
7	Humana hmo fee schedule · outpatient	$352	$352	—	—	—	$352 – $352
8	Humana ppo fee schedule · outpatient	$352	$352	—	—	—	$352 – $352
9	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$392	$392	$77	20%	—	$316 – $469
10	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$401	$401	—	—	—	$401 – $401
11	Blue Cross Blue Shield bav fee schedule · outpatient	$442	$442	—	—	—	$442 – $442
12	Blue Cross Blue Shield hmo fee schedule · outpatient	$553	$553	—	—	—	$553 – $553
13	Blue Cross Blue Shield eposoa fee schedule · outpatient	$563	$563	—	—	—	$563 – $563
14	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$568	$568	$111	20%	—	$457 – $679
15	Blue Cross Blue Shield ppo fee schedule · outpatient	$573	$573	—	—	—	$573 – $573
16	Molina hix percent of total billed charges · outpatientfrom % of charges	$602	$602	$117	20%	—	$484 – $719
17	Aetna nbhmo percent of total billed charges · outpatientfrom % of charges	$715	$715	$140	20%	—	$576 – $855
18	Aetna nbpos percent of total billed charges · outpatientfrom % of charges	$715	$715	$140	20%	—	$576 – $855
19	Aetna nbppo percent of total billed charges · outpatientfrom % of charges	$715	$715	$140	20%	—	$576 – $855
20	Aetna commhmo percent of total billed charges · outpatientfrom % of charges	$762	$762	$149	20%	—	$613 – $911
21	Aetna commpos percent of total billed charges · outpatientfrom % of charges	$762	$762	$149	20%	—	$613 – $911
22	Aetna commppo percent of total billed charges · outpatientfrom % of charges	$762	$762	$149	20%	—	$613 – $911
23	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$780	$780	$152	20%	—	$628 – $932
24	Aetna oonhmo percent of total billed charges · outpatientfrom % of charges	$893	$893	$174	20%	—	$719 – $1.1k
25	Aetna oonpos percent of total billed charges · outpatientfrom % of charges	$893	$893	$174	20%	—	$719 – $1.1k

Page 1 of 2 · 33 rates

Last updated: May 14, 2026

Compare to other hospitals

See Outpatient new patient office visit, high complexity pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.