Outpatient office visit, new patient (level 2) at Medical City Plano

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 2 NP

Plano, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Medical City Plano’s median price of $153 is 41% above the median hospital's median price ($109), higher than 69% of the 1,958 hospitals reporting CPT 99202. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99202 at Medical City Plano

Negotiated rates from the hospital’s own file: 8 payers, 28 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	$26	$37	$27	72%	—	$15 – $81
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$26	$37	$27	72%	—	$15 – $81
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$26	$37	$27	72%	—	$15 – $81
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$26	$37	$27	72%	—	$15 – $81
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$26	$37	$27	72%	—	$15 – $81
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$50	$71	$51	72%	—	$29 – $156
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$52	$74	$53	72%	—	$31 – $162
8	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$60	$86	$62	72%	—	$36 – $188
9	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$64	$92	$66	72%	—	$38 – $201
10	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$88	$126	$90	72%	—	$52 – $275
11	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$91	$130	$93	72%	—	$53 – $283
12	Aetna comm percent of total billed charges · outpatientfrom % of charges	$95	$135	$97	72%	—	$56 – $296
13	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$95	$135	$97	72%	—	$56 – $296
14	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
15	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
16	Aetna oon percent of total billed charges · outpatientfrom % of charges	$111	$159	$114	72%	—	$65 – $347
17	Humana comm fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
18	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$125	$179	$128	72%	—	$74 – $391
19	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$164	$235	$168	72%	—	$97 – $513
20	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
21	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
22	Blue Cross Blue Shield eposoa fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
23	Blue Cross Blue Shield ppo fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$195	$279	$200	72%	—	$115 – $609
25	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$203	$291	$209	72%	—	$120 – $636

Page 1 of 2 · 28 rates

Last updated: Mar 1, 2026

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