CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Medical City Arlington

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $241
Cash Discount Price: $507
vs. Medicare Baseline: 1.78x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Medical City Arlington is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $507. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.78x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.

Cash / Self-Pay

$507

Average discount available for prompt cash payment at this facility.

Insurance Median

$241

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: $507 (374%)

Insurance Median: $241 (178%)

Cash: $507 (374% of Medicare)

Ins. Median: $241 (178% 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
Superior Health Plan	$35	26%
Aetna	$68 - $368	50%
Cigna	$68 - $71	50%
United	$95	70%
Imperial Insurance Company	$96	71%
Unicare	$96 - $507	71%
Healthcare Highways	$124 - $171	91%
Evry Health	$131	97%
Humana	$198	146%
Curative Administrators	$203	150%
Blue Cross Blue Shield	$220 - $428	162%
City Of Mckinney	$228	168%
Fidelis Securecare	$228	168%
Global Sports Services	$253	187%
National Choicecare	$253	187%
Pc Texas Partners	$279	206%
Physicians Coop Of Tx	$279	206%
Rockport Health Group	$279	206%
Averde Health, Inc	$294	217%
Coastal Comp Health Networks	$355	262%
Mega Life	$355	262%
Multiplan Phcs	$355	262%
Healthsmart Preferred Care	$360	265%
Lewisville Isd/Dls Consulting	$380	280%
Usa Managed Care	$405	299%
Usc Health Services	$405	299%
Galaxy Health Network	$431	318%
Texas Instruments	$456	336%
Independent Medical Systems	$507	374%
National Healthcare Solutions	$507	374%

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 $507.
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 Arlington 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.