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 4 EST
North Richland Hills, TX
See all hospitals reporting CPT 99214 →Price type
Medical City North Hills’s median price of $149 is 6% below the median hospital's median price ($159), higher than 45% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $19.25 | $19.25 | $10.64 – $27.86 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $19.25 | $19.25 | $10.64 – $27.86 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $19.25 | $19.25 | $10.64 – $27.86 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $19.25 | $19.25 | $10.64 – $27.86 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $19.25 | $19.25 | $10.64 – $27.86 |
| 6 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $53.73 | $51.48 | $20.52 – $80.18 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $53.73 | $51.48 | $20.52 – $80.18 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $55.72 | $53.38 | $21.28 – $83.15 |
| 9 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $79.20 | $75.88 | $30.25 – $118.20 |
| 10 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $84.77 | $81.22 | $32.38 – $126.51 |
| 11 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $85.57 | $81.98 | $32.68 – $127.70 |
| 12 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $97.51 | $93.42 | $37.24 – $145.52 |
| 13 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $99.90 | $95.71 | $38.15 – $149.08 |
| 14 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $134.52 | $128.89 | $51.38 – $200.76 |
| 15 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $156.80 | $156.80 | $156.80 – $156.80 |
| 16 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $156.80 | $156.80 | $156.80 – $156.80 |
| 17 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $176.71 | $169.30 | $67.49 – $263.71 |
| 18 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $175.22 | $175.22 | $175.22 – $175.22 |
| 19 | Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges | $175.22 | $175.22 | $175.22 – $175.22 |
| 20 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $175.22 | $175.22 | $175.22 – $175.22 |
| 21 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $118.51 | $179.22 | $32.38 – $431.80 |
| 22 | Humana comm fee schedule · outpatient | $198.09 | $198.09 | $198.09 – $198.09 |
| 23 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $209.75 | $200.95 | $80.10 – $313.01 |
| 24 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $218.90 | $209.72 | $83.60 – $326.67 |
| 25 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $220.03 | $220.03 | $220.03 – $220.03 |
Last updated: Mar 1, 2026
See Outpatient office visit, established patient, level 4 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.