Outpatient office visit, established patient at Hca Houston Mainland

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

Texas City, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Hca Houston Mainland’s median price of $304 is 145% above the median hospital's median price ($124), higher than 92% 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 Mainland

Negotiated rates from the hospital’s own file: 10 payers, 38 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	Aetna mcr percent of total billed charges · outpatientfrom % of charges	$61.50	$60.08	$33.67 – $85.06
2	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$76.98	$76.98	$76.98 – $76.98
3	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$76.98	$76.98	$76.98 – $76.98
4	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$76.98	$76.98	$76.98 – $76.98
5	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$76.98	$76.98	$76.98 – $76.98
6	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$76.98	$76.98	$76.98 – $76.98
7	Cigna csn percent of total billed charges · outpatientfrom % of charges	$106.22	$106.22	$75.16 – $137.28
8	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$114.83	$114.83	$81.25 – $148.41
9	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$121.45	$121.45	$121.45 – $121.45
10	Blue Cross Blue Shield bav fee schedule · outpatient	$133.90	$133.90	$133.90 – $133.90
11	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$136.36	$136.36	$96.49 – $176.23
12	Blue Cross Blue Shield eposoa fee schedule · outpatient	$167.64	$167.64	$167.64 – $167.64
13	Blue Cross Blue Shield hmo fee schedule · outpatient	$167.64	$167.64	$167.64 – $167.64
14	Blue Cross Blue Shield ppo fee schedule · outpatient	$167.64	$167.64	$167.64 – $167.64
15	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$187.37	$183.03	$102.58 – $259.15
16	Aetna qhpexchange percent of total billed charges · outpatientfrom % of charges	$190.19	$190.19	$134.58 – $245.80
17	Humana hmo fee schedule · outpatient	$200.64	$200.64	$200.64 – $200.64
18	Humana ppo fee schedule · outpatient	$200.64	$200.64	$200.64 – $200.64
19	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$236.53	$231.06	$129.50 – $327.15
20	Molina hix percent of total billed charges · outpatientfrom % of charges	$250.44	$244.65	$137.12 – $346.39
21	Aetna nbhmo percent of total billed charges · outpatientfrom % of charges	$297.74	$290.86	$163.02 – $411.82
22	Aetna nbpos percent of total billed charges · outpatientfrom % of charges	$297.74	$290.86	$163.02 – $411.82
23	Aetna nbppo percent of total billed charges · outpatientfrom % of charges	$297.74	$290.86	$163.02 – $411.82
24	Aetna commhmo percent of total billed charges · outpatientfrom % of charges	$317.22	$309.89	$173.68 – $438.76
25	Aetna commpos percent of total billed charges · outpatientfrom % of charges	$317.22	$309.89	$173.68 – $438.76

Page 1 of 2 · 38 rates

Last updated: Mar 1, 2026

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