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
DECATUR, TX
See all hospitals reporting CPT 99215 →Price type
Medical City Decatur’s median price of $70 is 67% below the median hospital's median price ($210), higher than 2% 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: 8 payers, 25 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 | $16.74 | $16.74 | $16.74 – $16.74 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $16.74 | $16.74 | $16.74 – $16.74 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $16.74 | $16.74 | $16.74 – $16.74 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $16.74 | $16.74 | $16.74 – $16.74 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $16.74 | $16.74 | $16.74 – $16.74 |
| 6 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $32.28 | $32.28 | $32.28 – $32.28 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $32.28 | $32.28 | $32.28 – $32.28 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $33.48 | $33.48 | $33.48 – $33.48 |
| 9 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $42.08 | $42.08 | $42.08 – $42.08 |
| 10 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $47.58 | $47.58 | $47.58 – $47.58 |
| 11 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $50.93 | $50.93 | $50.93 – $50.93 |
| 12 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $58.58 | $58.58 | $58.58 – $58.58 |
| 13 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $60.02 | $60.02 | $60.02 – $60.02 |
| 14 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $80.82 | $80.82 | $80.82 – $80.82 |
| 15 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $106.16 | $106.16 | $106.16 – $106.16 |
| 16 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $112.74 | $112.74 | $50.93 – $174.55 |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $126.01 | $126.01 | $126.01 – $126.01 |
| 18 | MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges | $167.38 | $167.38 | $167.38 – $167.38 |
| 19 | Humana comm fee schedule · outpatient | $231.92 | $231.92 | $231.92 – $231.92 |
| 20 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $310.20 | $310.20 | $310.20 – $310.20 |
| 21 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $310.20 | $310.20 | $310.20 – $310.20 |
| 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 | Blue Cross Blue Shield ppo fee schedule · outpatient | $603.48 | $603.48 | $603.48 – $603.48 |
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.