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
LEWISVILLE, TX
See all hospitals reporting CPT 99215 →Price type
Medical City Lewisville’s median price of $310 is 47% above the median hospital's median price ($210), higher than 71% 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, 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $47.72 | $47.72 | $47.72 – $47.72 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $47.72 | $47.72 | $47.72 – $47.72 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $47.72 | $47.72 | $47.72 – $47.72 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $47.72 | $47.72 | $47.72 – $47.72 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $47.72 | $47.72 | $47.72 – $47.72 |
| 6 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $92.03 | $92.03 | $92.03 – $92.03 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $92.03 | $92.03 | $92.03 – $92.03 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $95.43 | $95.43 | $95.43 – $95.43 |
| 9 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $135.65 | $135.65 | $135.65 – $135.65 |
| 10 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $135.65 | $135.65 | $135.65 – $135.65 |
| 11 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $145.20 | $145.20 | $145.20 – $145.20 |
| 12 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $167.01 | $167.01 | $167.01 – $167.01 |
| 13 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $171.10 | $171.10 | $171.10 – $171.10 |
| 14 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $230.40 | $230.40 | $230.40 – $230.40 |
| 15 | Humana comm fee schedule · outpatient | $231.92 | $231.92 | $231.92 – $231.92 |
| 16 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $302.66 | $302.66 | $302.66 – $302.66 |
| 17 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $310.20 | $310.20 | $310.20 – $310.20 |
| 18 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $310.20 | $310.20 | $310.20 – $310.20 |
| 19 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $320.39 | $320.39 | $145.20 – $495.57 |
| 20 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $359.24 | $359.24 | $359.24 – $359.24 |
| 21 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $374.92 | $374.92 | $374.92 – $374.92 |
| 22 | MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges | $477.17 | $477.17 | $477.17 – $477.17 |
| 23 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $549.34 | $549.34 | $549.34 – $549.34 |
| 24 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $549.34 | $549.34 | $549.34 – $549.34 |
| 25 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $576.41 | $576.41 | $576.41 – $576.41 |
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.