Outpatient office visit, established patient, level 5 at Medical City Fort Worth

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 5 EST

FT WORTH, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Medical City Fort Worth’s median price of $121 is 43% below the median hospital's median price ($210), higher than 12% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99215 at Medical City Fort Worth

Negotiated rates from the hospital’s own file: 9 payers, 30 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	$15.39	$15.39	$15.39 – $15.39
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$15.39	$15.39	$15.39 – $15.39
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$15.39	$15.39	$15.39 – $15.39
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$15.39	$15.39	$15.39 – $15.39
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$15.39	$15.39	$15.39 – $15.39
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$29.68	$29.68	$29.68 – $29.68
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$30.78	$30.78	$30.78 – $30.78
8	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$35.84	$35.84	$35.84 – $35.84
9	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$41.34	$41.34	$41.34 – $41.34
10	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$52.33	$52.33	$52.33 – $52.33
11	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$53.87	$53.87	$53.87 – $53.87
12	Aetna comm percent of total billed charges · outpatientfrom % of charges	$56.29	$56.29	$56.29 – $56.29
13	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$56.29	$56.29	$56.29 – $56.29
14	Aetna oon percent of total billed charges · outpatientfrom % of charges	$65.96	$65.96	$65.96 – $65.96
15	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$74.32	$74.32	$74.32 – $74.32
16	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$97.63	$97.63	$97.63 – $97.63
17	Aetna asa percent of total billed charges · outpatientfrom % of charges	$115.88	$115.88	$115.88 – $115.88
18	Cigna comm percent of total billed charges · outpatientfrom % of charges	$116.54	$116.54	$116.54 – $116.54
19	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$120.93	$120.93	$120.93 – $120.93
20	Aetna exclusive percent of total billed charges · outpatientfrom % of charges	$129.51	$129.51	$129.51 – $129.51
21	Aetna nonexclusive percent of total billed charges · outpatientfrom % of charges	$129.51	$129.51	$129.51 – $129.51
22	MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges	$153.92	$153.92	$153.92 – $153.92
23	Optum comm percent of total billed charges · outpatientfrom % of charges	$189.10	$189.10	$189.10 – $189.10
24	Humana comm fee schedule · outpatient	$231.92	$231.92	$231.92 – $231.92
25	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$310.20	$310.20	$310.20 – $310.20

Page 1 of 2 · 30 rates

Last updated: Mar 1, 2026

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