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
Dallas, TX
See all hospitals reporting CPT 99214 →Price type
Medical City Dallas’s median price of $539 is 239% above the median hospital's median price ($159), higher than 97% 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: 9 payers, 37 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 | Optum mcd percent of total billed charges · outpatientfrom % of charges | $120.83 | $142.76 | $107.83 – $199.63 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $148.29 | $175.21 | $132.33 – $245.00 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $153.79 | $181.70 | $137.23 – $254.07 |
| 9 | Humana comm fee schedule · outpatient | $198.09 | $198.09 | $198.09 – $198.09 |
| 10 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $179.05 | $211.55 | $159.78 – $295.81 |
| 11 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $220.03 | $220.03 | $220.03 – $220.03 |
| 12 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $220.03 | $220.03 | $220.03 – $220.03 |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $236.17 | $279.03 | $210.75 – $390.18 |
| 14 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $261.44 | $308.89 | $233.30 – $431.92 |
| 15 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $269.13 | $317.97 | $240.16 – $444.63 |
| 16 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $281.21 | $332.25 | $250.94 – $464.59 |
| 17 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $281.21 | $332.25 | $250.94 – $464.59 |
| 18 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $329.54 | $389.35 | $294.07 – $544.44 |
| 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 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $371.28 | $438.67 | $331.32 – $613.41 |
| 24 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $479.11 | $479.11 | $479.11 – $479.11 |
| 25 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $479.11 | $479.11 | $479.11 – $479.11 |
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.