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 3 EST
Plano, TX
See all hospitals reporting CPT 99213 →Price type
Medical City Plano’s median price of $158 is 28% above the median hospital's median price ($124), higher than 64% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 34 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 | $28.25 | $40.45 | $16.67 – $88.63 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $28.25 | $40.45 | $16.67 – $88.63 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $28.25 | $40.45 | $16.67 – $88.63 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $28.25 | $40.45 | $16.67 – $88.63 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $28.25 | $40.45 | $16.67 – $88.63 |
| 6 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $41.26 | $69.66 | $32.15 – $170.93 |
| 7 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $70.91 | $70.91 | $70.91 – $70.91 |
| 8 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $70.91 | $70.91 | $70.91 – $70.91 |
| 9 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $42.79 | $72.24 | $33.34 – $177.26 |
| 10 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $79.23 | $79.23 | $79.23 – $79.23 |
| 11 | Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges | $79.23 | $79.23 | $79.23 – $79.23 |
| 12 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $79.23 | $79.23 | $79.23 – $79.23 |
| 13 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $49.82 | $84.11 | $38.82 – $206.38 |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $53.18 | $89.78 | $41.44 – $220.31 |
| 15 | Cigna allother percent of total billed charges · outpatientfrom % of charges | $100.18 | $100.18 | $100.18 – $100.18 |
| 16 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $72.74 | $122.80 | $56.68 – $301.34 |
| 17 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $74.88 | $126.42 | $58.35 – $310.21 |
| 18 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $78.24 | $132.09 | $60.97 – $324.13 |
| 19 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $78.24 | $132.09 | $60.97 – $324.13 |
| 20 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $142.72 | $142.72 | $142.72 – $142.72 |
| 21 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $142.72 | $142.72 | $142.72 – $142.72 |
| 22 | Humana comm fee schedule · outpatient | $147.37 | $147.37 | $147.37 – $147.37 |
| 23 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $91.69 | $154.80 | $71.44 – $379.85 |
| 24 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $103.30 | $174.40 | $80.49 – $427.96 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $135.70 | $229.10 | $105.74 – $562.17 |
Last updated: Mar 1, 2026
See Outpatient office visit, established patient pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.