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
Plano, TX
See all hospitals reporting CPT 99214 →Price type
Medical City Plano’s median price of $209 is 31% above the median hospital's median price ($159), higher than 65% 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: 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 | $36.12 | $53.76 | $21.39 – $121.42 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $36.12 | $53.76 | $21.39 – $121.42 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $36.12 | $53.76 | $21.39 – $121.42 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $36.12 | $53.76 | $21.39 – $121.42 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $36.12 | $53.76 | $21.39 – $121.42 |
| 6 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $91.00 | $91.00 | $91.00 – $91.00 |
| 7 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $91.00 | $91.00 | $91.00 – $91.00 |
| 8 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $52.69 | $92.25 | $41.26 – $234.16 |
| 9 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $54.64 | $95.67 | $42.79 – $242.83 |
| 10 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $101.68 | $101.68 | $101.68 – $101.68 |
| 11 | Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges | $101.68 | $101.68 | $101.68 – $101.68 |
| 12 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $101.68 | $101.68 | $101.68 – $101.68 |
| 13 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $63.62 | $111.39 | $49.82 – $282.73 |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $67.91 | $118.90 | $53.18 – $301.80 |
| 15 | Cigna allother percent of total billed charges · outpatientfrom % of charges | $128.57 | $128.57 | $128.57 – $128.57 |
| 16 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $92.89 | $162.64 | $72.74 – $412.81 |
| 17 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $95.62 | $167.42 | $74.88 – $424.95 |
| 18 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $99.91 | $174.94 | $78.24 – $444.03 |
| 19 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $99.91 | $174.94 | $78.24 – $444.03 |
| 20 | Humana comm fee schedule · outpatient | $198.09 | $198.09 | $198.09 – $198.09 |
| 21 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $117.09 | $205.01 | $91.69 – $520.35 |
| 22 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $220.03 | $220.03 | $220.03 – $220.03 |
| 23 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $220.03 | $220.03 | $220.03 – $220.03 |
| 24 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $131.92 | $230.98 | $103.30 – $586.26 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $173.29 | $303.41 | $135.70 – $770.12 |
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.