CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Parkland Health & Hospital System

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99213
Insurance Median: $78
Cash Discount Price: $103
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Parkland Health & Hospital System is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 0.82x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$95.19

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $95.19 (100%)

Cash / Self-Pay: $103 (108%)

Insurance Median: $78 (82%)

Cash: $103 (108% of Medicare)

Ins. Median: $78 (82% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $95.19 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$33 - $185	35%
Cook Children Health Plan [1380]	$39 - $80	41%
Wellpoint [1007]	$39 - $368	41%
Aetna	$41 - $387	43%
Parkland Chip Perinate [1320]	$41 - $80	43%
Parkland Community Health Plan [1056]	$41 - $387	43%
Superior Health Plan [1402]	$41 - $83	43%
UnitedHealthcare	$42 - $334	44%
Molina [1382]	$43 - $405	45%
Point Comfort Underwriters [1801]	$43 - $83	45%
Care Improvement Plus [1104]	$49 - $105	51%
Delta Dental Insurance Company [1151]	$49 - $57	51%
Medicare (plans)	$49 - $63	51%
Procare Advantage [2104]	$49 - $106	51%
Triwest Healthcare Alliance [1409]	$49 - $57	51%
Wellcare Of Texas [1330]	$49 - $59	51%
Molina Aca [1337]	$81 - $95	85%
Cigna	$121 - $301	127%
Superior Healthplan [1383]	$152 - $296	160%
Great West Healthcare [1037]	$154 - $301	162%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $103.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99213.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkland Health & Hospital System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99213.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.