CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Methodist Dallas Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$158

about 1.2× the $136 Medicare rate · typically $101–$185

modeled estimate · not a bill or quote

What this hospital charges insurers

$140

Below the fair price — a good deal

about $18 under the fair price · 1.0× Medicare

Medicare pays $136 Fair price $158 This hospital $140 Cash price $321 Hospital's list price $642

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $140

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $158 (about 1.2× the $136 Medicare rate). Methodist Dallas Medical Center charges insurers about $140, or about $321 in cash — below the fair price — a good deal. Located in Dallas, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$53 - $142	39%
Blue Cross Blue Shieldmajor	$26 - $142	19%
Aetnamajor	$134 - $482	99%
Cignamajor	$140 - $156	103%
Humanamajor	$142	105%
Ambetter (Centene)	$144	106%
Bright Health	$118	87%
Friday Health	$143	105%
Molina	$122	90%
Oscar Health	$110	81%
WellCare	$134	99%
+ 23 smaller / regional plans	$101 - $433

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 321), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Methodist Dallas Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Methodist Dallas Medical Center

Compare: Office visit, established patient (30-39 min) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.