Outpatient office visit, established patient at Heart Hosp Of Austin

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

Austin, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Heart Hosp Of Austin’s median price of $615 is 396% above the median hospital's median price ($124), higher than 99% 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 Heart Hosp Of Austin

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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$11.55	$11.55	$11.55 – $11.55
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$11.55	$11.55	$11.55 – $11.55
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$11.55	$11.55	$11.55 – $11.55
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$11.55	$11.55	$11.55 – $11.55
5	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$144.28	$144.28	$144.28 – $144.28
6	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$157.26	$157.26	$157.26 – $157.26
7	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$248.60	$248.60	$248.60 – $248.60
8	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$248.60	$248.60	$248.60 – $248.60
9	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$316.88	$257.25	$39.27 – $355.98
10	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$316.88	$257.25	$39.27 – $355.98
11	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$316.88	$257.25	$39.27 – $355.98
12	Blue Cross Blue Shield eposoa fee schedule · outpatient	$273.51	$273.51	$273.51 – $273.51
13	Blue Cross Blue Shield ppo fee schedule · outpatient	$298.43	$298.43	$298.43 – $298.43
14	Oscar hix percent of total billed charges · outpatientfrom % of charges	$370.94	$372.61	$344.83 – $402.05
15	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$370.94	$372.61	$344.83 – $402.05
16	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$464.14	$376.80	$57.52 – $521.41
17	Oscar epo percent of total billed charges · outpatientfrom % of charges	$413.45	$415.30	$384.34 – $448.12
18	Oscar pos percent of total billed charges · outpatientfrom % of charges	$413.45	$415.30	$384.34 – $448.12
19	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$413.45	$415.30	$384.34 – $448.12
20	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$542.43	$440.36	$67.22 – $609.35
21	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$559.20	$453.98	$69.30 – $628.20
22	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$594.62	$482.73	$73.69 – $667.99
23	Humana hmo percent of total billed charges · outpatientfrom % of charges	$536.71	$539.12	$498.93 – $581.71
24	Humana ppo percent of total billed charges · outpatientfrom % of charges	$536.71	$539.12	$498.93 – $581.71
25	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$620.17	$622.95	$576.52 – $672.17

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

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