Outpatient office visit, established patient at Medical City Denton

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 3 EST

Argyle, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Medical City Denton’s median price of $148 is 19% above the median hospital's median price ($124), higher than 61% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at Medical City Denton

Negotiated rates from the hospital’s own file: 8 payers, 32 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	$11.35	$11.35	$11.35 – $11.35
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$11.35	$11.35	$11.35 – $11.35
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$11.35	$11.35	$11.35 – $11.35
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$11.35	$11.35	$11.35 – $11.35
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$11.35	$11.35	$11.35 – $11.35
6	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$67.62	$67.62	$21.89 – $113.35
7	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$67.62	$67.62	$21.89 – $113.35
8	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$70.13	$70.13	$22.70 – $117.55
9	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$88.16	$88.16	$28.53 – $147.78
10	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$99.68	$99.68	$32.26 – $167.09
11	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$106.69	$106.69	$34.53 – $178.84
12	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$122.72	$122.72	$39.72 – $205.71
13	Aetna oon percent of total billed charges · outpatientfrom % of charges	$125.72	$125.72	$40.69 – $210.75
14	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$142.72	$142.72	$142.72 – $142.72
15	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$142.72	$142.72	$142.72 – $142.72
16	Humana comm fee schedule · outpatient	$147.37	$147.37	$147.37 – $147.37
17	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$169.30	$169.30	$54.80 – $283.80
18	Cigna localplus percent of total billed charges · outpatientfrom % of charges	$221.66	$221.66	$221.66 – $221.66
19	Cigna newbusiness percent of total billed charges · outpatientfrom % of charges	$221.66	$221.66	$221.66 – $221.66
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$222.40	$222.40	$71.99 – $372.80
21	Aetna comm percent of total billed charges · outpatientfrom % of charges	$148.60	$236.17	$34.53 – $612.94
22	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$247.69	$247.69	$247.69 – $247.69
23	Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges	$247.69	$247.69	$247.69 – $247.69
24	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$247.69	$247.69	$247.69 – $247.69
25	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$252.75	$252.75	$252.75 – $252.75

Page 1 of 2 · 32 rates

Last updated: Mar 1, 2026

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