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 5 EST
Plano, TX
See all hospitals reporting CPT 99215 →Price type
Medical City Plano’s median price of $273 is 30% above the median hospital's median price ($210), higher than 65% of the 1,976 hospitals reporting CPT 99215. 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 | $44.92 | $62.74 | $27.32 – $144.20 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $44.92 | $62.74 | $27.32 – $144.20 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $44.92 | $62.74 | $27.32 – $144.20 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $44.92 | $62.74 | $27.32 – $144.20 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $44.92 | $62.74 | $27.32 – $144.20 |
| 6 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $82.08 | $110.73 | $52.69 – $278.10 |
| 7 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $85.12 | $114.83 | $54.64 – $288.40 |
| 8 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $116.21 | $116.21 | $116.21 – $116.21 |
| 9 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $116.21 | $116.21 | $116.21 – $116.21 |
| 10 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $129.86 | $129.86 | $129.86 – $129.86 |
| 11 | Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges | $129.86 | $129.86 | $129.86 – $129.86 |
| 12 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $129.86 | $129.86 | $129.86 – $129.86 |
| 13 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $99.09 | $133.70 | $63.62 – $335.78 |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $105.78 | $142.72 | $67.91 – $358.44 |
| 15 | Cigna allother percent of total billed charges · outpatientfrom % of charges | $164.19 | $164.19 | $164.19 – $164.19 |
| 16 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $144.69 | $195.22 | $92.89 – $490.28 |
| 17 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $148.95 | $200.96 | $95.62 – $504.70 |
| 18 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $155.64 | $209.98 | $99.91 – $527.36 |
| 19 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $155.64 | $209.98 | $99.91 – $527.36 |
| 20 | Humana comm fee schedule · outpatient | $231.92 | $231.92 | $231.92 – $231.92 |
| 21 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $182.38 | $246.07 | $117.09 – $618.00 |
| 22 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $205.49 | $277.24 | $131.92 – $696.28 |
| 23 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $310.20 | $310.20 | $310.20 – $310.20 |
| 24 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $310.20 | $310.20 | $310.20 – $310.20 |
| 25 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $269.93 | $364.18 | $173.29 – $914.64 |
Last updated: Mar 1, 2026
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.