Office visit, established patient (20-29 min)
Facility: Texas Health Presbyterian Hospital Plano
Billing Code: 99213 (CPT)
Highest price of the 9 TX hospitals we have prices for — worth calling around.
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 (20-29 min) is about $101 (about 1.1× the $95 Medicare rate). Texas Health Presbyterian Hospital Plano charges insurers about $97, or about $256 in cash — about the fair price. Located in Plano, 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
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 | $19 - $649 | 20% |
| Blue Cross Blue Shieldmajor | $19 - $426 | 20% |
| Aetnamajor | $64 - $830 | 67% |
| Cignamajor | $87 - $1,114 | 91% |
| Humanamajor | $96 | 101% |
| Amerigroup | $19 - $145 | 20% |
| Cigna HealthSpring | $94 | 99% |
| Molina | $21 - $157 | 22% |
| WellCare | $20 - $152 | 21% |
| + 6 smaller / regional plans | $19 - $1,042 |
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 Texas Health Presbyterian Hospital Plano
Compare: Office visit, established patient (20-29 min) at other TX hospitals
- Northwest Texas Hospital · Amarillo $34
- Ochiltree General Hospital · Perryton $43
- PAM Specialty Hospital of Texarkana North · Texarkana $47
- Riceland Medical Center · Winnie $48
- Cook Childrens Medical Center · Fort Worth $51
- Cook Childrens Medical Center Prosper · Prosper $51
- Peterson Regional Medical Center · Kerrville $52
- North Texas Medical Center · Gainesville $52
Insurance negotiated median for the same procedure, sorted lowest first.