Outpatient office visit, established patient at Med City Heart Hospital

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

Dallas, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Med City Heart Hospital’s median price of $314 is 153% above the median hospital's median price ($124), higher than 92% 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 Med City Heart Hospital

Negotiated rates from the hospital’s own file: 8 payers, 28 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	$53.74	$54.89	$50.70 – $60.23
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$53.74	$54.89	$50.70 – $60.23
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$53.74	$54.89	$50.70 – $60.23
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$53.74	$54.89	$50.70 – $60.23
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$53.74	$54.89	$50.70 – $60.23
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$103.64	$105.86	$97.78 – $116.17
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$107.48	$109.78	$101.40 – $120.47
8	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$125.14	$127.82	$118.06 – $140.26
9	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$142.72	$142.72	$142.72 – $142.72
10	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$142.72	$142.72	$142.72 – $142.72
11	Humana comm fee schedule · outpatient	$147.37	$147.37	$147.37 – $147.37
12	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$165.06	$168.60	$155.72 – $185.01
13	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$182.72	$186.63	$172.38 – $204.80
14	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$195.77	$199.96	$184.69 – $219.43
15	Aetna comm percent of total billed charges · outpatientfrom % of charges	$196.54	$200.75	$185.41 – $220.29
16	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$196.54	$200.75	$185.41 – $220.29
17	Aetna oon percent of total billed charges · outpatientfrom % of charges	$230.32	$235.25	$217.28 – $258.15
18	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$252.75	$252.75	$252.75 – $252.75
19	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$252.75	$252.75	$252.75 – $252.75
20	Blue Cross Blue Shield eposoa fee schedule · outpatient	$265.21	$265.21	$265.21 – $265.21
21	Healthcare Highways cityofplanoemployeebenefitplan percent of total billed charges · outpatientfrom % of charges	$268.71	$274.46	$253.49 – $301.18
22	Blue Cross Blue Shield ppo fee schedule · outpatient	$277.66	$277.66	$277.66 – $277.66
23	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$340.88	$348.17	$321.58 – $382.06
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$404.60	$413.26	$381.69 – $453.48
25	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$422.26	$431.29	$398.35 – $473.27

Page 1 of 2 · 28 rates

Last updated: Mar 1, 2026

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