Outpatient office visit, established patient, level 5 at HCA Houston Healthcare North Cypress

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

HOUSTON, TX

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Pricing by billing methodology

Price type

How this price compares nationally

HCA Houston Healthcare North Cypress’s median price of $397 is 89% above the median hospital's median price ($210), higher than 82% 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 North Cypress

Negotiated rates from the hospital’s own file: 9 payers, 34 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	$69.89	$69.89	$55.07 – $84.70
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$69.89	$69.89	$55.07 – $84.70
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$69.89	$69.89	$55.07 – $84.70
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$69.89	$69.89	$55.07 – $84.70
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$69.89	$69.89	$55.07 – $84.70
6	Cigna csn percent of total billed charges · outpatientfrom % of charges	$256.01	$256.01	$256.01 – $256.01
7	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$263.95	$263.95	$263.95 – $263.95
8	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$285.17	$273.34	$185.41 – $349.43
9	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$276.77	$276.77	$276.77 – $276.77
10	Blue Cross Blue Shield bav fee schedule · outpatient	$291.02	$291.02	$291.02 – $291.02
11	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$328.67	$328.67	$328.67 – $328.67
12	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$359.99	$345.05	$234.06 – $441.11
13	Blue Cross Blue Shield eposoa fee schedule · outpatient	$364.34	$364.34	$364.34 – $364.34
14	Blue Cross Blue Shield hmo fee schedule · outpatient	$364.34	$364.34	$364.34 – $364.34
15	Blue Cross Blue Shield ppo fee schedule · outpatient	$364.34	$364.34	$364.34 – $364.34
16	Molina hix percent of total billed charges · outpatientfrom % of charges	$381.17	$365.35	$247.82 – $467.05
17	Aetna nbhmo percent of total billed charges · outpatientfrom % of charges	$453.17	$434.36	$294.64 – $555.28
18	Aetna nbpos percent of total billed charges · outpatientfrom % of charges	$453.17	$434.36	$294.64 – $555.28
19	Aetna nbppo percent of total billed charges · outpatientfrom % of charges	$453.17	$434.36	$294.64 – $555.28
20	Aetna qhpexchange percent of total billed charges · outpatientfrom % of charges	$458.40	$458.40	$458.40 – $458.40
21	Aetna commhmo percent of total billed charges · outpatientfrom % of charges	$482.82	$462.78	$313.91 – $591.60
22	Aetna commpos percent of total billed charges · outpatientfrom % of charges	$482.82	$462.78	$313.91 – $591.60
23	Aetna commppo percent of total billed charges · outpatientfrom % of charges	$482.82	$462.78	$313.91 – $591.60
24	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$494.11	$473.60	$321.25 – $605.44
25	Aetna oonhmo percent of total billed charges · outpatientfrom % of charges	$566.11	$542.61	$368.07 – $693.66

Page 1 of 2 · 34 rates

Last updated: May 14, 2026

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