Outpatient office visit, established patient, level 5 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 EST

CONROE, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Hca Houston Healthcare Conroe’s median price of $587 is 179% above the median hospital's median price ($210), higher than 94% 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 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.

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1	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$109.75	$109.75	$109.75 – $109.75
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$109.75	$109.75	$109.75 – $109.75
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$109.75	$109.75	$109.75 – $109.75
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$109.75	$109.75	$109.75 – $109.75
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$109.75	$109.75	$109.75 – $109.75
6	Aetna mcr percent of total billed charges · outpatientfrom % of charges	$121.28	$121.28	$121.28 – $121.28
7	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$263.95	$263.95	$263.95 – $263.95
8	Blue Cross Blue Shield bav fee schedule · outpatient	$291.02	$291.02	$291.02 – $291.02
9	Humana hmo fee schedule · outpatient	$315.77	$315.77	$315.77 – $315.77
10	Humana ppo fee schedule · outpatient	$315.77	$315.77	$315.77 – $315.77
11	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$321.95	$321.95	$321.95 – $321.95
12	Blue Cross Blue Shield hmo fee schedule · outpatient	$364.34	$364.34	$364.34 – $364.34
13	Blue Cross Blue Shield eposoa fee schedule · outpatient	$371.11	$371.11	$371.11 – $371.11
14	Blue Cross Blue Shield ppo fee schedule · outpatient	$377.88	$377.88	$377.88 – $377.88
15	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$466.46	$466.46	$466.46 – $466.46
16	Molina hix percent of total billed charges · outpatientfrom % of charges	$493.89	$493.89	$493.89 – $493.89
17	Aetna nbhmo percent of total billed charges · outpatientfrom % of charges	$587.19	$587.19	$587.19 – $587.19
18	Aetna nbpos percent of total billed charges · outpatientfrom % of charges	$587.19	$587.19	$587.19 – $587.19
19	Aetna nbppo percent of total billed charges · outpatientfrom % of charges	$587.19	$587.19	$587.19 – $587.19
20	Aetna commhmo percent of total billed charges · outpatientfrom % of charges	$625.60	$625.60	$625.60 – $625.60
21	Aetna commpos percent of total billed charges · outpatientfrom % of charges	$625.60	$625.60	$625.60 – $625.60
22	Aetna commppo percent of total billed charges · outpatientfrom % of charges	$625.60	$625.60	$625.60 – $625.60
23	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$640.23	$640.23	$640.23 – $640.23
24	Aetna oonhmo percent of total billed charges · outpatientfrom % of charges	$733.53	$733.53	$733.53 – $733.53
25	Aetna oonpos percent of total billed charges · outpatientfrom % of charges	$733.53	$733.53	$733.53 – $733.53

Page 1 of 2 · 33 rates

Last updated: May 14, 2026

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