Outpatient office visit, established patient at Medical City Lewisville

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

LEWISVILLE, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Medical City Lewisville’s median price of $214 is 73% above the median hospital's median price ($124), higher than 77% 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 Lewisville

Negotiated rates from the hospital’s own file: 8 payers, 26 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	$33.35	$33.35	$33.35 – $33.35
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$33.35	$33.35	$33.35 – $33.35
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$33.35	$33.35	$33.35 – $33.35
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$33.35	$33.35	$33.35 – $33.35
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$33.35	$33.35	$33.35 – $33.35
6	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$64.32	$64.32	$64.32 – $64.32
7	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$64.32	$64.32	$64.32 – $64.32
8	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$66.70	$66.70	$66.70 – $66.70
9	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$94.82	$94.82	$94.82 – $94.82
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$94.82	$94.82	$94.82 – $94.82
11	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$101.49	$101.49	$101.49 – $101.49
12	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$116.73	$116.73	$116.73 – $116.73
13	Aetna oon percent of total billed charges · outpatientfrom % of charges	$119.59	$119.59	$119.59 – $119.59
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	$161.04	$161.04	$161.04 – $161.04
18	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$211.55	$211.55	$211.55 – $211.55
19	Aetna comm percent of total billed charges · outpatientfrom % of charges	$223.94	$223.94	$101.49 – $346.39
20	Aetna asa percent of total billed charges · outpatientfrom % of charges	$251.09	$251.09	$251.09 – $251.09
21	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$252.75	$252.75	$252.75 – $252.75
22	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$252.75	$252.75	$252.75 – $252.75
23	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$262.05	$262.05	$262.05 – $262.05
24	Blue Cross Blue Shield eposoa fee schedule · outpatient	$265.21	$265.21	$265.21 – $265.21
25	Blue Cross Blue Shield ppo fee schedule · outpatient	$277.66	$277.66	$277.66 – $277.66

Page 1 of 2 · 26 rates

Last updated: Mar 1, 2026

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