How much does office visit, established, level 5 cost in Houston, TX?
CPT 99215 — the fair price, every hospital's price, and the Medicare benchmark for Houston, TX.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Harris Health Ben Taub Hospital (Houston) lowest | Hospital | $148cash | 0.8× | — |
| Harris Health Lyndon B. Johnson Hospital (Houston) | Hospital | $148cash | 0.8× | — |
| Memorial Hermann Memorial City Medical Center (Houston) | Hospital | $149cash | 0.8× | ★★★★★ |
| Memorial Hermann–Texas Medical Center (Houston) | Hospital | $149cash | 0.8× | ★★★★★ |
| Memorial Hermann The Woodlands Medical Center (The Woodlands) | Hospital | $149cash | 0.8× | — |
| Baylor St. Luke's Medical Center (Houston) | Hospital | $175cash | 1.0× | ★★★★★ |
| St. Luke's Health–The Woodlands Hospital (The Woodlands) | Hospital | $175cash | 1.0× | ★★★★★ |
| Houston Methodist Sugar Land Hospital (Sugar Land) | Hospital | $310cash | 1.8× | ★★★★★ |
| Houston Methodist The Woodlands Hospital (The Woodlands) | Hospital | $310cash | 1.8× | ★★★★★ |
| Houston Methodist Hospital (Houston) | Hospital | $310cash | 1.8× | ★★★★★ |
| HCA Houston Healthcare Northwest (Houston) | Hospital | $364negotiated | 2.1× | ★★★★★ |
| HCA Houston Healthcare Medical Center (Houston) | Hospital | $580cash | 3.3× | ★★★★★ |
| HCA Houston Healthcare Clear Lake (Webster) | Hospital | $885cash | 5.0× | ★★★★★ |
| HCA Houston Healthcare West (Houston) | Hospital | $905cash | 5.2× | ★★★★★ |
| Texas Children's Hospital (Houston) | Hospital | $1,432cash | 8.2× | — |
| UT MD Anderson Cancer Center (Houston) gross charge | Hospital | $5,040negotiated | 28.7× | — |
- For 99215 (Office visit, established, level 5), Medicare's benchmark rate is $175.64. A fair self-pay target for this line is $242.07. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99215 is $242.07, and negotiated rates at nearby facilities run $148.80–$808.44. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
What should 99215 cost in Houston, TX?
For office visit, established, level 5 (CPT 99215) in Houston, TX, a fair self-pay price is around $310, with hospitals ranging from $149 to $808 across 16 facilities. Medicare's benchmark rate is $176, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does office visit, established, level 5 cost in Houston, TX?
A fair self-pay price for office visit, established, level 5 (CPT 99215) in Houston, TX is around $310, with hospital prices ranging from $149 to $808 across 16 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99215?
Medicare pays about $176 for office visit, established, level 5 (CPT 99215). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of office visit, established, level 5?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in Houston, TX
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.