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
Dallas, TX
See all hospitals reporting CPT 99215 →Price type
Medical City Dallas’s median price of $605 is 187% above the median hospital's median price ($210), higher than 95% 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: 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $81.56 | $81.56 | $77.00 – $86.11 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $81.56 | $81.56 | $77.00 – $86.11 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $81.56 | $81.56 | $77.00 – $86.11 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $81.56 | $81.56 | $77.00 – $86.11 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $81.56 | $81.56 | $77.00 – $86.11 |
| 6 | Optum mcd percent of total billed charges · outpatientfrom % of charges | $135.32 | $160.09 | $120.99 – $223.97 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $166.07 | $196.48 | $148.49 – $274.87 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $172.22 | $203.75 | $153.99 – $285.05 |
| 9 | Humana comm fee schedule · outpatient | $231.92 | $231.92 | $231.92 – $231.92 |
| 10 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $200.52 | $237.23 | $179.29 – $331.88 |
| 11 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $310.20 | $310.20 | $310.20 – $310.20 |
| 12 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $310.20 | $310.20 | $310.20 – $310.20 |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $264.48 | $312.91 | $236.49 – $437.76 |
| 14 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $292.78 | $346.38 | $261.79 – $484.58 |
| 15 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $301.39 | $356.57 | $269.49 – $498.84 |
| 16 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $314.92 | $372.58 | $281.59 – $521.23 |
| 17 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $314.92 | $372.58 | $281.59 – $521.23 |
| 18 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $369.05 | $436.62 | $329.99 – $610.82 |
| 19 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $415.79 | $491.92 | $371.78 – $688.19 |
| 20 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $537.52 | $537.52 | $537.52 – $537.52 |
| 21 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $537.52 | $537.52 | $537.52 – $537.52 |
| 22 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $549.34 | $549.34 | $549.34 – $549.34 |
| 23 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $549.34 | $549.34 | $549.34 – $549.34 |
| 24 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $576.41 | $576.41 | $576.41 – $576.41 |
| 25 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $600.64 | $600.64 | $600.64 – $600.64 |
Last updated: Mar 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.