CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Medical City Fort Worth

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $101
Cash Discount Price: $184
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Medical City Fort Worth is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.74x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.

Cash / Self-Pay

$184

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)

Cash / Self-Pay: $184 (136%)

Insurance Median: $101 (74%)

Cash: $184 (136% of Medicare)

Ins. Median: $101 (74% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 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
Cigna	$25 - $97	18%
Aetna	$30 - $108	22%
Imperial Insurance Company	$35	26%
United	$35	26%
Unicare	$40 - $184	29%
Healthcare Highways	$45 - $62	33%
Evry Health	$47	35%
Curative Administrators	$74	55%
Blue Cross Blue Shield	$82 - $428	60%
City Of Mckinney	$83	61%
Fidelis Securecare	$83	61%
Emerging Therapy Solutions	$92 - $132	68%
National Choicecare	$92	68%
Pc Texas Partners	$101	74%
Physicians Coop Of Tx	$101	74%
Rockport Health Group	$101	74%
Averde Health, Inc	$107	79%
Coastal Comp Health Networks	$129	95%
Mega Life	$129	95%
Multiplan Phcs	$129	95%
Healthsmart Preferred Care	$131	97%
Lewisville Isd/Dls Consulting	$138	102%
Tcu Athletics	$147	108%
Usa Managed Care	$147	108%
Usc Health Services	$147	108%
Galaxy Health Network	$156	115%
UnitedHealthcare	$158	117%
Independent Medical Systems	$184	136%
National Healthcare Solutions	$184	136%
Humana	$198	146%

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 $184.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99214.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical City Fort Worth is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99214.
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.