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 4 EST
RED OAK, TX
See all hospitals reporting CPT 99214 →Price type
Medical City Arlington’s median price of $241 is 51% above the median hospital's median price ($159), higher than 72% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 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 | $35.47 | $35.47 | $35.47 – $35.47 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $35.47 | $35.47 | $35.47 – $35.47 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $35.47 | $35.47 | $35.47 – $35.47 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $35.47 | $35.47 | $35.47 – $35.47 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $35.47 | $35.47 | $35.47 – $35.47 |
| 6 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $68.40 | $68.40 | $68.40 – $68.40 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $68.40 | $68.40 | $68.40 – $68.40 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $70.94 | $70.94 | $70.94 – $70.94 |
| 9 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $95.26 | $95.26 | $95.26 – $95.26 |
| 10 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $100.83 | $100.83 | $100.83 – $100.83 |
| 11 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $107.93 | $107.93 | $107.93 – $107.93 |
| 12 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $124.14 | $124.14 | $124.14 – $124.14 |
| 13 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $127.18 | $127.18 | $127.18 – $127.18 |
| 14 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $171.26 | $171.26 | $171.26 – $171.26 |
| 15 | Humana comm fee schedule · outpatient | $198.09 | $198.09 | $198.09 – $198.09 |
| 16 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $220.03 | $220.03 | $220.03 – $220.03 |
| 17 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $220.03 | $220.03 | $220.03 – $220.03 |
| 18 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $224.97 | $224.97 | $224.97 – $224.97 |
| 19 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $238.15 | $238.15 | $107.93 – $368.37 |
| 20 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $267.03 | $267.03 | $267.03 – $267.03 |
| 21 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $278.69 | $278.69 | $278.69 – $278.69 |
| 22 | MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges | $354.69 | $354.69 | $354.69 – $354.69 |
| 23 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $389.65 | $389.65 | $389.65 – $389.65 |
| 24 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $389.65 | $389.65 | $389.65 – $389.65 |
| 25 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $408.85 | $408.85 | $408.85 – $408.85 |
Last updated: Mar 1, 2026
See Outpatient office visit, established patient, level 4 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.