Outpatient office consultation, straightforward complexity at Metropolitan Methodist

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

OFFICE CONSULT 30 MIN

SAN ANTONIO, TX

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Pricing by billing methodology

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How this price compares nationally

Metropolitan Methodist’s median price of $226 is 105% above the median hospital's median price ($111), higher than 76% of the 1,094 hospitals reporting CPT 99242. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99242 at Metropolitan Methodist

Negotiated rates from the hospital’s own file: 5 payers, 17 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	First Health chip percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
2	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
3	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
4	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
5	First Health hmo percent of total billed charges · outpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
6	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
7	Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
8	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
9	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$230	$230	—	—	—	$230 – $230
10	First Health comm percent of total billed charges · outpatientfrom % of charges	$270	$270	—	—	—	$270 – $270
11	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
12	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
13	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
14	Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient	$355	$355	—	—	—	$355 – $355
15	Blue Cross Blue Shield ppo fee schedule · outpatient	$385	$385	—	—	—	$385 – $385
16	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$459	$459	—	—	—	$459 – $459
17	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$520	$520	—	—	—	$520 – $520

Last updated: May 1, 2026

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