Outpatient new patient office visit 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 3 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 $257 is 76% above the median hospital's median price ($146), higher than 78% of the 1,992 hospitals reporting CPT 99203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99203 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	$45	$60	$39	65%	—	$21 – $113
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$45	$60	$39	65%	—	$21 – $113
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$45	$60	$39	65%	—	$21 – $113
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$45	$60	$39	65%	—	$21 – $113
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$45	$60	$39	65%	—	$21 – $113
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$87	$115	$75	65%	—	$41 – $218
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$90	$120	$78	65%	—	$43 – $227
8	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$105	$139	$91	65%	—	$50 – $264
9	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$112	$149	$97	65%	—	$53 – $282
10	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$153	$204	$132	65%	—	$73 – $385
11	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$157	$210	$136	65%	—	$75 – $396
12	Humana comm fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
13	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
14	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
15	Aetna comm percent of total billed charges · outpatientfrom % of charges	$164	$219	$143	65%	—	$78 – $414
16	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$164	$219	$143	65%	—	$78 – $414
17	Aetna oon percent of total billed charges · outpatientfrom % of charges	$193	$257	$167	65%	—	$92 – $485
18	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$217	$289	$188	65%	—	$103 – $547
19	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$377	$377	—	—	—	$377 – $377
20	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$377	$377	—	—	—	$377 – $377
21	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$285	$380	$247	65%	—	$136 – $718
22	Blue Cross Blue Shield eposoa fee schedule · outpatient	$396	$396	—	—	—	$396 – $396
23	Blue Cross Blue Shield ppo fee schedule · outpatient	$415	$415	—	—	—	$415 – $415
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$338	$451	$293	65%	—	$161 – $853
25	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$353	$470	$306	65%	—	$168 – $890

Page 1 of 2 · 28 rates

Last updated: Mar 1, 2026

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