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.
Original text from hospital filings
OP VISIT LEVEL 4 EST
Pasadena, TX
See all hospitals reporting CPT 99214 →Price type
HCA Houston Rehabilitation Hospital Southeast’s median price of $281 is 77% above the median hospital's median price ($159), higher than 79% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 37 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 | $27.99 | $48.20 | $12.55 – $97.42 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $27.99 | $48.20 | $12.55 – $97.42 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $27.99 | $48.20 | $12.55 – $97.42 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $27.99 | $48.20 | $12.55 – $97.42 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $27.99 | $48.20 | $12.55 – $97.42 |
| 6 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $187.22 | $187.22 | $187.22 – $187.22 |
| 7 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $266.30 | $200.25 | $42.25 – $327.98 |
| 8 | Blue Cross Blue Shield bav fee schedule · outpatient | $206.43 | $206.43 | $206.43 – $206.43 |
| 9 | Cigna csn percent of total billed charges · outpatientfrom % of charges | $216.29 | $216.29 | $195.11 – $237.47 |
| 10 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $233.83 | $233.83 | $210.93 – $256.72 |
| 11 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $336.17 | $252.79 | $53.33 – $414.03 |
| 12 | Blue Cross Blue Shield hmo fee schedule · outpatient | $258.43 | $258.43 | $258.43 – $258.43 |
| 13 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $267.23 | $267.23 | $267.23 – $267.23 |
| 14 | Molina hix percent of total billed charges · outpatientfrom % of charges | $355.95 | $267.66 | $56.47 – $438.39 |
| 15 | Humana hmo fee schedule · outpatient | $269.70 | $269.70 | $269.70 – $269.70 |
| 16 | Humana ppo fee schedule · outpatient | $269.70 | $269.70 | $269.70 – $269.70 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $276.03 | $276.03 | $276.03 – $276.03 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $277.67 | $277.67 | $250.48 – $304.86 |
| 19 | Aetna nbhmo percent of total billed charges · outpatientfrom % of charges | $423.18 | $318.22 | $67.14 – $521.19 |
| 20 | Aetna nbpos percent of total billed charges · outpatientfrom % of charges | $423.18 | $318.22 | $67.14 – $521.19 |
| 21 | Aetna nbppo percent of total billed charges · outpatientfrom % of charges | $423.18 | $318.22 | $67.14 – $521.19 |
| 22 | Aetna commhmo percent of total billed charges · outpatientfrom % of charges | $450.87 | $339.04 | $71.53 – $555.29 |
| 23 | Aetna commpos percent of total billed charges · outpatientfrom % of charges | $450.87 | $339.04 | $71.53 – $555.29 |
| 24 | Aetna commppo percent of total billed charges · outpatientfrom % of charges | $450.87 | $339.04 | $71.53 – $555.29 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $461.41 | $346.96 | $73.20 – $568.28 |
Last updated: Mar 1, 2026
See Outpatient office visit, established patient, level 4 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.