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 5 EST
Pasadena, TX
See all hospitals reporting CPT 99215 →Price type
HCA Houston Rehabilitation Hospital Southeast’s median price of $319 is 52% above the median hospital's median price ($210), higher than 73% of the 1,976 hospitals reporting CPT 99215. 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 | $29.89 | $54.49 | $17.75 – $105.26 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $29.89 | $54.49 | $17.75 – $105.26 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $29.89 | $54.49 | $17.75 – $105.26 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $29.89 | $54.49 | $17.75 – $105.26 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $29.89 | $54.49 | $17.75 – $105.26 |
| 6 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $327.98 | $239.94 | $59.76 – $391.81 |
| 7 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $263.95 | $263.95 | $263.95 – $263.95 |
| 8 | Cigna csn percent of total billed charges · outpatientfrom % of charges | $279.28 | $279.28 | $271.49 – $287.07 |
| 9 | Blue Cross Blue Shield bav fee schedule · outpatient | $291.02 | $291.02 | $291.02 – $291.02 |
| 10 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $301.93 | $301.93 | $293.50 – $310.35 |
| 11 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $414.03 | $302.90 | $75.44 – $494.62 |
| 12 | Humana hmo fee schedule · outpatient | $315.77 | $315.77 | $315.77 – $315.77 |
| 13 | Humana ppo fee schedule · outpatient | $315.77 | $315.77 | $315.77 – $315.77 |
| 14 | Molina hix percent of total billed charges · outpatientfrom % of charges | $438.39 | $320.71 | $79.87 – $523.71 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $358.54 | $358.54 | $348.53 – $368.54 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $364.34 | $364.34 | $364.34 – $364.34 |
| 17 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $376.75 | $376.75 | $376.75 – $376.75 |
| 18 | Aetna nbhmo percent of total billed charges · outpatientfrom % of charges | $521.19 | $381.29 | $94.96 – $622.63 |
| 19 | Aetna nbpos percent of total billed charges · outpatientfrom % of charges | $521.19 | $381.29 | $94.96 – $622.63 |
| 20 | Aetna nbppo percent of total billed charges · outpatientfrom % of charges | $521.19 | $381.29 | $94.96 – $622.63 |
| 21 | Blue Cross Blue Shield ppo fee schedule · outpatient | $389.16 | $389.16 | $389.16 – $389.16 |
| 22 | Aetna commhmo percent of total billed charges · outpatientfrom % of charges | $555.29 | $406.24 | $101.17 – $663.37 |
| 23 | Aetna commpos percent of total billed charges · outpatientfrom % of charges | $555.29 | $406.24 | $101.17 – $663.37 |
| 24 | Aetna commppo percent of total billed charges · outpatientfrom % of charges | $555.29 | $406.24 | $101.17 – $663.37 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $568.28 | $415.74 | $103.54 – $678.88 |
Last updated: Mar 1, 2026
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.