Outpatient office visit, established patient at Medical City North Hills

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

North Richland Hills, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Medical City North Hills’s median price of $130 is 5% above the median hospital's median price ($124), higher than 52% 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 North Hills

Negotiated rates from the hospital’s own file: 9 payers, 35 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	$17.75	$17.75	$11.34 – $24.15
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$17.75	$17.75	$11.34 – $24.15
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$17.75	$17.75	$11.34 – $24.15
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$17.75	$17.75	$11.34 – $24.15
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$17.75	$17.75	$11.34 – $24.15
6	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$46.58	$44.66	$21.87 – $65.52
7	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$46.58	$44.66	$21.87 – $65.52
8	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$48.30	$46.31	$22.68 – $67.95
9	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$68.65	$65.83	$32.24 – $96.59
10	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$73.48	$70.46	$34.51 – $103.38
11	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$74.17	$71.12	$34.83 – $104.35
12	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$84.53	$81.04	$39.69 – $118.91
13	Aetna oon percent of total billed charges · outpatientfrom % of charges	$86.59	$83.03	$40.66 – $121.83
14	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$116.61	$111.81	$54.76 – $164.05
15	Cigna localplus percent of total billed charges · outpatientfrom % of charges	$128.14	$128.14	$128.14 – $128.14
16	Cigna newbusiness percent of total billed charges · outpatientfrom % of charges	$128.14	$128.14	$128.14 – $128.14
17	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$142.72	$142.72	$142.72 – $142.72
18	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$142.72	$142.72	$142.72 – $142.72
19	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$143.18	$143.18	$143.18 – $143.18
20	Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges	$143.18	$143.18	$143.18 – $143.18
21	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$143.18	$143.18	$143.18 – $143.18
22	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$153.18	$146.87	$71.93 – $215.50
23	Humana comm fee schedule · outpatient	$147.37	$147.37	$147.37 – $147.37
24	Aetna comm percent of total billed charges · outpatientfrom % of charges	$110.58	$155.47	$34.51 – $352.86
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$181.81	$174.32	$85.37 – $255.78

Page 1 of 2 · 35 rates

Last updated: Mar 1, 2026

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