Outpatient office visit, established patient, level 4 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 4 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 $858 is 439% above the median hospital's median price ($159), higher than 99% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99214 at Heart Hosp Of Austin

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	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$222.43	$222.43	$222.43 – $222.43
2	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$242.43	$242.43	$242.43 – $242.43
3	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$383.25	$383.25	$383.25 – $383.25
4	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$383.25	$383.25	$383.25 – $383.25
5	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$400.52	$400.52	$398.65 – $402.39
6	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$400.52	$400.52	$398.65 – $402.39
7	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$400.52	$400.52	$398.65 – $402.39
8	Blue Cross Blue Shield eposoa fee schedule · outpatient	$421.65	$421.65	$421.65 – $421.65
9	Oscar hix percent of total billed charges · outpatientfrom % of charges	$452.35	$452.35	$450.24 – $454.46
10	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$452.35	$452.35	$450.24 – $454.46
11	Blue Cross Blue Shield ppo fee schedule · outpatient	$460.06	$460.06	$460.06 – $460.06
12	Oscar epo percent of total billed charges · outpatientfrom % of charges	$504.19	$504.19	$501.83 – $506.54
13	Oscar pos percent of total billed charges · outpatientfrom % of charges	$504.19	$504.19	$501.83 – $506.54
14	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$504.19	$504.19	$501.83 – $506.54
15	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$586.64	$586.64	$583.90 – $589.38
16	Humana hmo percent of total billed charges · outpatientfrom % of charges	$654.50	$654.50	$651.44 – $657.55
17	Humana ppo percent of total billed charges · outpatientfrom % of charges	$654.50	$654.50	$651.44 – $657.55
18	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$685.60	$685.60	$682.39 – $688.80
19	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$706.80	$706.80	$703.50 – $710.10
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$751.56	$751.56	$748.05 – $755.07
21	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$756.28	$756.28	$752.75 – $759.81
22	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$805.75	$805.75	$801.99 – $809.51
23	Cigna openaccess percent of total billed charges · outpatientfrom % of charges	$805.75	$805.75	$801.99 – $809.51
24	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$805.75	$805.75	$801.99 – $809.51
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$965.96	$965.96	$961.45 – $970.47

Page 1 of 2 · 34 rates

Last updated: Sep 1, 2026

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