Outpatient office visit, established patient at Medical City Frisco

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

Frisco, TX

See all hospitals reporting CPT 99213 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Medical City Frisco’s median price of $78 is 37% below the median hospital's median price ($124), higher than 22% 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 Frisco

Negotiated rates from the hospital’s own file: 7 payers, 27 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	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$30.54	$33.99	$30.16 – $41.26
2	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$31.67	$35.25	$31.28 – $42.79
3	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$36.88	$41.04	$36.42 – $49.82
4	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$39.37	$43.81	$38.87 – $53.18
5	Cigna localplus percent of total billed charges · outpatientfrom % of charges	$58.98	$58.98	$58.98 – $58.98
6	Cigna newbusiness percent of total billed charges · outpatientfrom % of charges	$58.98	$58.98	$58.98 – $58.98
7	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$53.85	$59.92	$53.17 – $72.74
8	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$55.43	$61.68	$54.74 – $74.88
9	Aetna comm percent of total billed charges · outpatientfrom % of charges	$57.92	$64.45	$57.19 – $78.24
10	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$57.92	$64.45	$57.19 – $78.24
11	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$65.91	$65.91	$65.91 – $65.91
12	Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges	$65.91	$65.91	$65.91 – $65.91
13	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$65.91	$65.91	$65.91 – $65.91
14	Aetna oon percent of total billed charges · outpatientfrom % of charges	$67.87	$75.53	$67.02 – $91.69
15	Cigna allother percent of total billed charges · outpatientfrom % of charges	$83.33	$83.33	$83.33 – $83.33
16	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$76.47	$85.09	$75.51 – $103.30
17	Aetna asa percent of total billed charges · outpatientfrom % of charges	$119.23	$132.68	$117.74 – $161.06
18	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$142.72	$142.72	$142.72 – $142.72
19	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$142.72	$142.72	$142.72 – $142.72
20	Humana comm fee schedule · outpatient	$147.37	$147.37	$147.37 – $147.37
21	Aetna exclusive percent of total billed charges · outpatientfrom % of charges	$136.88	$152.31	$135.16 – $184.90
22	Aetna nonexclusive percent of total billed charges · outpatientfrom % of charges	$136.88	$152.31	$135.16 – $184.90
23	MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges	$158.37	$176.23	$156.39 – $213.93
24	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$252.75	$252.75	$252.75 – $252.75
25	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$252.75	$252.75	$252.75 – $252.75

Page 1 of 2 · 27 rates

Last updated: Mar 1, 2026

Compare to other hospitals

See Outpatient office visit, established patient pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.