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
Austin, TX
See all hospitals reporting CPT 99215 →Price type
Heart Hosp Of Austin’s median price of $939 is 346% above the median hospital's median price ($210), higher than 98% 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, 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 | $313.58 | $313.58 | $313.58 – $313.58 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $341.78 | $341.78 | $341.78 – $341.78 |
| 3 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $438.35 | $438.35 | $437.58 – $439.11 |
| 4 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $438.35 | $438.35 | $437.58 – $439.11 |
| 5 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $438.35 | $438.35 | $437.58 – $439.11 |
| 6 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $495.08 | $495.08 | $494.21 – $495.94 |
| 7 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $495.08 | $495.08 | $494.21 – $495.94 |
| 8 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $540.31 | $540.31 | $540.31 – $540.31 |
| 9 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $540.31 | $540.31 | $540.31 – $540.31 |
| 10 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $551.80 | $551.80 | $550.84 – $552.76 |
| 11 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $551.80 | $551.80 | $550.84 – $552.76 |
| 12 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $551.80 | $551.80 | $550.84 – $552.76 |
| 13 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $594.46 | $594.46 | $594.46 – $594.46 |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $642.05 | $642.05 | $640.93 – $643.17 |
| 15 | Blue Cross Blue Shield ppo fee schedule · outpatient | $648.60 | $648.60 | $648.60 – $648.60 |
| 16 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $716.31 | $716.31 | $715.06 – $717.56 |
| 17 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $716.31 | $716.31 | $715.06 – $717.56 |
| 18 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $750.34 | $750.34 | $749.03 – $751.65 |
| 19 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $773.55 | $773.55 | $772.20 – $774.90 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $822.55 | $822.55 | $821.11 – $823.98 |
| 21 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $827.70 | $827.70 | $826.25 – $829.14 |
| 22 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $881.85 | $881.85 | $880.31 – $883.39 |
| 23 | Cigna openaccess percent of total billed charges · outpatientfrom % of charges | $881.85 | $881.85 | $880.31 – $883.39 |
| 24 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $881.85 | $881.85 | $880.31 – $883.39 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1,057 | $1,057 | $1,055 – $1,059 |
Last updated: Sep 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.