Outpatient office visit, established patient at Hca Houston Healthcare Tomball

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 3 EST

HOUSTON, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Hca Houston Healthcare Tomball’s median price of $337 is 172% above the median hospital's median price ($124), higher than 94% 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 Hca Houston Healthcare Tomball

Negotiated rates from the hospital’s own file: 8 payers, 31 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	$109.85	$109.85	$64.18 – $155.51
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$109.85	$109.85	$64.18 – $155.51
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$109.85	$109.85	$64.18 – $155.51
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$109.85	$109.85	$64.18 – $155.51
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$109.85	$109.85	$64.18 – $155.51
6	Aetna mcr percent of total billed charges · outpatientfrom % of charges	$121.38	$121.38	$70.92 – $171.84
7	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$121.45	$121.45	$121.45 – $121.45
8	Blue Cross Blue Shield bav fee schedule · outpatient	$133.90	$133.90	$133.90 – $133.90
9	Blue Cross Blue Shield hmo fee schedule · outpatient	$167.64	$167.64	$167.64 – $167.64
10	Blue Cross Blue Shield eposoa fee schedule · outpatient	$170.75	$170.75	$170.75 – $170.75
11	Blue Cross Blue Shield ppo fee schedule · outpatient	$173.87	$173.87	$173.87 – $173.87
12	Humana hmo fee schedule · outpatient	$200.64	$200.64	$200.64 – $200.64
13	Humana ppo fee schedule · outpatient	$200.64	$200.64	$200.64 – $200.64
14	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$307.58	$307.58	$179.71 – $435.44
15	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$466.85	$466.85	$272.77 – $660.93
16	Molina hix percent of total billed charges · outpatientfrom % of charges	$494.32	$494.32	$288.82 – $699.81
17	Aetna nbhmo percent of total billed charges · outpatientfrom % of charges	$499.81	$499.81	$292.03 – $707.59
18	Aetna nbpos percent of total billed charges · outpatientfrom % of charges	$499.81	$499.81	$292.03 – $707.59
19	Aetna nbppo percent of total billed charges · outpatientfrom % of charges	$499.81	$499.81	$292.03 – $707.59
20	Aetna commhmo percent of total billed charges · outpatientfrom % of charges	$529.10	$529.10	$309.14 – $749.06
21	Aetna commpos percent of total billed charges · outpatientfrom % of charges	$529.10	$529.10	$309.14 – $749.06
22	Aetna commppo percent of total billed charges · outpatientfrom % of charges	$529.10	$529.10	$309.14 – $749.06
23	Aetna oonhmo percent of total billed charges · outpatientfrom % of charges	$624.30	$624.30	$364.76 – $883.83
24	Aetna oonpos percent of total billed charges · outpatientfrom % of charges	$624.30	$624.30	$364.76 – $883.83
25	Aetna oonppo percent of total billed charges · outpatientfrom % of charges	$624.30	$624.30	$364.76 – $883.83

Page 1 of 2 · 31 rates

Last updated: Mar 1, 2026

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