Outpatient office visit, established patient, level 4 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 4 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 $428 is 169% above the median hospital's median price ($159), higher than 94% 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 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	$72.76	$72.76	$68.62 – $76.89
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$72.76	$72.76	$68.62 – $76.89
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$72.76	$72.76	$68.62 – $76.89
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$72.76	$72.76	$68.62 – $76.89
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$72.76	$72.76	$68.62 – $76.89
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$140.31	$140.31	$132.33 – $148.29
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$145.51	$145.51	$137.23 – $153.79
8	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$169.42	$169.42	$159.78 – $179.05
9	Humana comm fee schedule · outpatient	$198.09	$198.09	$198.09 – $198.09
10	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$220.03	$220.03	$220.03 – $220.03
11	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$220.03	$220.03	$220.03 – $220.03
12	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$223.46	$223.46	$210.75 – $236.17
13	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$247.37	$247.37	$233.30 – $261.44
14	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$265.04	$265.04	$249.96 – $280.11
15	Aetna comm percent of total billed charges · outpatientfrom % of charges	$266.08	$266.08	$250.94 – $281.21
16	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$266.08	$266.08	$250.94 – $281.21
17	Aetna oon percent of total billed charges · outpatientfrom % of charges	$311.81	$311.81	$294.07 – $329.54
18	Healthcare Highways cityofplanoemployeebenefitplan percent of total billed charges · outpatientfrom % of charges	$363.77	$363.77	$343.08 – $384.46
19	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$389.65	$389.65	$389.65 – $389.65
20	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$389.65	$389.65	$389.65 – $389.65
21	Blue Cross Blue Shield eposoa fee schedule · outpatient	$408.85	$408.85	$408.85 – $408.85
22	Blue Cross Blue Shield ppo fee schedule · outpatient	$428.05	$428.05	$428.05 – $428.05
23	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$461.48	$461.48	$435.23 – $487.72
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$547.74	$547.74	$516.59 – $578.89
25	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$571.65	$571.65	$539.13 – $604.16

Page 1 of 2 · 28 rates

Last updated: Mar 1, 2026

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