Office visit, established patient (30-39 min)
Facility: Texas Health Presbyterian Hospital Plano
Billing Code: 99214 (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 (30-39 min) is about $142 (about 1.0× the $136 Medicare rate). Texas Health Presbyterian Hospital Plano charges insurers about $138, or about $266 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 | $25 - $797 | 18% |
| Blue Cross Blue Shieldmajor | $25 - $657 | 18% |
| Aetnamajor | $85 - $1,020 | 63% |
| Cignamajor | $115 - $1,369 | 85% |
| Humanamajor | $137 | 101% |
| Amerigroup | $25 - $178 | 18% |
| Cigna HealthSpring | $134 | 99% |
| Molina | $27 - $192 | 20% |
| WellCare | $27 - $187 | 20% |
| + 6 smaller / regional plans | $25 - $1,280 |
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 (30-39 min) at other TX hospitals
- Northwest Texas Hospital · Amarillo $48
- Throckmorton County Memorial Hospital · Throckmorton $54
- Cook Childrens Medical Center · Fort Worth $59
- Ochiltree General Hospital · Perryton $68
- Cook Childrens Medical Center Prosper · Prosper $69
- PAM Specialty Hospital of Texarkana North · Texarkana $70
- Riceland Medical Center · Winnie $74
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $77
Insurance negotiated median for the same procedure, sorted lowest first.