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

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 West’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 West

Negotiated rates from the hospital’s own file: 10 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	$54.30	$54.30	$54.30 – $54.30
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$54.30	$54.30	$54.30 – $54.30
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$54.30	$54.30	$54.30 – $54.30
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$54.30	$54.30	$54.30 – $54.30
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$54.30	$54.30	$54.30 – $54.30
6	Aetna mcr percent of total billed charges · outpatientfrom % of charges	$60.00	$60.00	$60.00 – $60.00
7	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$152.04	$152.04	$152.04 – $152.04
8	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$230.78	$230.78	$230.78 – $230.78
9	Molina hix percent of total billed charges · outpatientfrom % of charges	$244.35	$244.35	$244.35 – $244.35
10	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$263.95	$263.95	$263.95 – $263.95
11	Aetna nbhmo percent of total billed charges · outpatientfrom % of charges	$290.50	$290.50	$290.50 – $290.50
12	Aetna nbpos percent of total billed charges · outpatientfrom % of charges	$290.50	$290.50	$290.50 – $290.50
13	Aetna nbppo percent of total billed charges · outpatientfrom % of charges	$290.50	$290.50	$290.50 – $290.50
14	Blue Cross Blue Shield bav fee schedule · outpatient	$291.02	$291.02	$291.02 – $291.02
15	Aetna commhmo percent of total billed charges · outpatientfrom % of charges	$309.51	$309.51	$309.51 – $309.51
16	Aetna commpos percent of total billed charges · outpatientfrom % of charges	$309.51	$309.51	$309.51 – $309.51
17	Aetna commppo percent of total billed charges · outpatientfrom % of charges	$309.51	$309.51	$309.51 – $309.51
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	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$316.75	$316.75	$316.75 – $316.75
21	Aetna oonhmo percent of total billed charges · outpatientfrom % of charges	$362.90	$362.90	$362.90 – $362.90
22	Aetna oonpos percent of total billed charges · outpatientfrom % of charges	$362.90	$362.90	$362.90 – $362.90
23	Aetna oonppo percent of total billed charges · outpatientfrom % of charges	$362.90	$362.90	$362.90 – $362.90
24	Blue Cross Blue Shield hmo fee schedule · outpatient	$364.34	$364.34	$364.34 – $364.34
25	Aetna asahmo percent of total billed charges · outpatientfrom % of charges	$391.87	$391.87	$391.87 – $391.87

Page 1 of 2 · 34 rates

Last updated: May 14, 2026

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