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 4 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 $329 is 60% above the median hospital's median price ($206), higher than 76% of the 1,963 hospitals reporting CPT 99204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99204 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	$57	$73	$46	62%	—	$27 – $136
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$57	$73	$46	62%	—	$27 – $136
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$57	$73	$46	62%	—	$27 – $136
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$57	$73	$46	62%	—	$27 – $136
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$57	$73	$46	62%	—	$27 – $136
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$110	$142	$88	62%	—	$53 – $262
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$114	$147	$92	62%	—	$55 – $272
8	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$133	$171	$107	62%	—	$64 – $316
9	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$142	$182	$114	62%	—	$68 – $337
10	Humana comm fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
11	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$194	$249	$156	62%	—	$93 – $462
12	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$200	$257	$160	62%	—	$96 – $475
13	Aetna comm percent of total billed charges · outpatientfrom % of charges	$209	$268	$167	62%	—	$100 – $497
14	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$209	$268	$167	62%	—	$100 – $497
15	Aetna oon percent of total billed charges · outpatientfrom % of charges	$245	$314	$196	62%	—	$117 – $582
16	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$275	$354	$221	62%	—	$132 – $656
17	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$361	$361	—	—	—	$361 – $361
18	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$361	$361	—	—	—	$361 – $361
19	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$362	$465	$290	62%	—	$173 – $861
20	Aetna asa percent of total billed charges · outpatientfrom % of charges	$430	$552	$344	62%	—	$206 – $1.0k
21	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$448	$577	$360	62%	—	$215 – $1.1k
22	Aetna exclusive percent of total billed charges · outpatientfrom % of charges	$493	$634	$395	62%	—	$236 – $1.2k
23	Aetna nonexclusive percent of total billed charges · outpatientfrom % of charges	$493	$634	$395	62%	—	$236 – $1.2k
24	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$639	$639	—	—	—	$639 – $639
25	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$639	$639	—	—	—	$639 – $639

Page 1 of 2 · 28 rates

Last updated: Mar 1, 2026

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