Office visit, established patient (30-39 min)
Facility: Medical City Fort Worth
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $184 compared to the $193 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.95× fair market pricing.
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
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 | $35 - $158 | 26% |
| Blue Cross Blue Shieldmajor | $82 - $428 | 60% |
| Aetnamajor | $30 - $108 | 22% |
| Cignamajor | $25 - $97 | 18% |
| Humanamajor | $198 | 146% |
| Fidelis Care | $83 | 61% |
| Health Net | $129 | 95% |
| Healthcare Highways | $45 - $62 | 33% |
| UniCare | $40 - $184 | 29% |
| + 15 smaller / regional plans | $35 - $184 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Medical City Fort Worth
Compare: Office visit, established patient (30-39 min) at other TX hospitals
- Graham Regional Medical Center · Graham $30
- Muenster Memorial Hospital · Muenster $48
- Cook Childrens Medical Center · Fort Worth $59
- Frio Regional Hospital · Pearsall $68
- Ward Memorial Hospital · Monahans $69
- Cook Childrens Medical Center Prosper · Prosper $69
- PAM Specialty Hospital of Texarkana North · Texarkana $70
- Riceland Medical Center · Winnie $74
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Medical City Fort Worth (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $67
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $67).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Medical City Fort Worth's published 45 CFR § 180 self-pay cash rate is $184 (vs. $222 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $193 Fair BaseRate ($136 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($193).
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.