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
Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
Houston, TX
See all hospitals reporting CPT 99215 →Price type
Mhhs Imaging Center’s median price of $316 is 50% above the median hospital's median price ($210), higher than 73% 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: 2 payers, 7 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 | Humana humana hmox facility · case rate · outpatient | $196.54 | $196.54 | $196.54 – $196.54 |
| 2 | Bcbs Tx bcbs blue advantage hmo (bav) facility · case rate · outpatient | $238.01 | $238.01 | $238.01 – $238.01 |
| 3 | Bcbs Tx bcbs my blue health (mbh) facility · case rate · outpatient | $238.01 | $238.01 | $238.01 – $238.01 |
| 4 | Bcbs Tx bcbs hmo blue essentials facility · case rate · outpatient | $315.84 | $315.84 | $315.84 – $315.84 |
| 5 | Bcbs Tx bcbs high performance network (hpn) facility · case rate · outpatient | $325.99 | $325.99 | $325.99 – $325.99 |
| 6 | Bcbs Tx bcbs hmo blue premier facility · case rate · outpatient | $325.99 | $325.99 | $325.99 – $325.99 |
| 7 | Bcbs Tx bcbs ppo/pos facility · case rate · outpatient | $372.24 | $372.24 | $372.24 – $372.24 |
Last updated: Nov 6, 2024
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.