How much does office visit, established, level 4 cost in Texas?
CPT 99214 — the fair price, every hospital's price, and the Medicare benchmark for Texas.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99214 Office visit, established, level 4
Ask to pay
$250
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
Typical
$278
Medicare $125
Ask $250
$37 lowboxed = typical rangehigh $1,728
What Medicare paysⓘ
$125
Typical price near you
$278
Cash / self-pay price
$289
Prices near you — 69 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| CHRISTUS Santa Rosa Hospital – Westover Hills (San Antonio) lowest | Hospital | $37cash | 0.3× | — |
| University Medical Center of El Paso | Hospital | $42cash | 0.3× | ★★★★★ |
| University Hospital - University Health (San Antonio) | Hospital | $61cash | 0.5× | — |
| St. David's Medical Center (Austin) | Hospital | $100cash | 0.8× | ★★★★★ |
| Memorial Hermann–Texas Medical Center (Houston) | Hospital | $129cash | 1.0× | ★★★★★ |
| Memorial Hermann The Woodlands Medical Center (The Woodlands) | Hospital | $129cash | 1.0× | — |
| Memorial Hermann Memorial City Medical Center (Houston) | Hospital | $129cash | 1.0× | ★★★★★ |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Hospital | $143cash | 1.1× | — |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Hospital | $143cash | 1.1× | — |
| Texas Health Presbyterian Hospital Plano | Hospital | $143cash | 1.1× | — |
| Texas Health Presbyterian Hospital Dallas | Hospital | $143cash | 1.1× | — |
| Texas Health Harris Methodist Hospital Fort Worth | Hospital | $143cash | 1.1× | — |
| Texas Health Presbyterian Hospital Denton | Hospital | $143cash | 1.1× | — |
| Texas Health Arlington Memorial Hospital (Arlington) | Hospital | $143cash | 1.1× | — |
| Texas Health Harris Methodist Hospital Cleburne | Hospital | $143cash | 1.1× | — |
| Texas Health Hospital Frisco | Hospital | $143cash | 1.1× | — |
| Texas Health Harris Methodist Hospital Alliance (Fort Worth) | Hospital | $143cash | 1.1× | — |
| Harris Health Ben Taub Hospital (Houston) | Hospital | $148cash | 1.2× | — |
| Harris Health Lyndon B. Johnson Hospital (Houston) | Hospital | $148cash | 1.2× | — |
| Baylor St. Luke's Medical Center (Houston) | Hospital | $169cash | 1.3× | ★★★★★ |
| St. Luke's Health–The Woodlands Hospital (The Woodlands) | Hospital | $169cash | 1.3× | ★★★★★ |
| Shannon Medical Center (San Angelo) | Hospital | $176cash | 1.4× | ★★★★★ |
| Medical City Fort Worth | Hospital | $184cash | 1.5× | ★★★★★ |
| Methodist Dallas Medical Center (Dallas) | Hospital | $193cash | 1.5× | ★★★★★ |
| Texas Health Harris Methodist Hospital Azle | Hospital | $205cash | 1.6× | — |
| Texas Health Harris Methodist Hospital Southlake | Hospital | $205cash | 1.6× | — |
| UT MD Anderson Cancer Center (Houston) | Hospital | $210negotiated | 1.7× | — |
| Cook Children's Medical Center (Fort Worth) | Hospital | $225cash | 1.8× | — |
| Parkland Health (Dallas) | Hospital | $231cash | 1.8× | ★★★★★ |
| Baylor Scott & White Medical Center – Temple | Hospital | $245negotiated | 2.0× | ★★★★★ |
| HCA Houston Healthcare Northwest (Houston) | Hospital | $258negotiated | 2.1× | ★★★★★ |
| Ascension Seton Medical Center Austin | Hospital | $272negotiated | 2.2× | ★★★★★ |
| Dell Seton Medical Center at UT (Austin) | Hospital | $272negotiated | 2.2× | ★★★★★ |
| JPS Health Network – John Peter Smith Hospital (Fort Worth) | Hospital | $284cash | 2.3× | ★★★★★ |
| Houston Methodist Hospital (Houston) | Hospital | $289cash | 2.3× | ★★★★★ |
| Houston Methodist Sugar Land Hospital (Sugar Land) | Hospital | $289cash | 2.3× | ★★★★★ |
| Houston Methodist The Woodlands Hospital (The Woodlands) | Hospital | $289cash | 2.3× | ★★★★★ |
| Baylor Scott & White Medical Center – College Station | Hospital | $295negotiated | 2.4× | ★★★★★ |
| UT Southwestern William P. Clements Jr. University Hospital (Dallas) | Hospital | $351cash | 2.8× | ★★★★★ |
| Medical City Frisco | Hospital | $390cash | 3.1× | — |
| Texas Health Presbyterian Hospital Allen | Hospital | $419cash | 3.3× | — |
| Texas Health Hospital Rockwall | Hospital | $419cash | 3.3× | — |
| Texas Health Presbyterian Hospital Flower Mound | Hospital | $419cash | 3.3× | — |
| Texas Health Harris Methodist Hospital Stephenville | Hospital | $419cash | 3.3× | — |
| Doctors Hospital at Renaissance (Edinburg) | Hospital | $440cash | 3.5× | — |
| St. David's North Austin Medical Center (Austin) | Hospital | $487cash | 3.9× | — |
| HCA Houston Healthcare Medical Center (Houston) | Hospital | $502cash | 4.0× | ★★★★★ |
| Covenant Medical Center (Lubbock) | Hospital | $511cash | 4.1× | ★★★★★ |
| The Hospitals of Providence Memorial Campus (El Paso) | Hospital | $526cash | 4.2× | ★★★★★ |
| The Hospitals of Providence Sierra Campus (El Paso) | Hospital | $569cash | 4.5× | — |
| The Hospitals of Providence Transmountain Campus (El Paso) | Hospital | $571cash | 4.6× | ★★★★★ |
| UMC Health System – University Medical Center (Lubbock) | Hospital | $587cash | 4.7× | ★★★★★ |
| Medical City Plano | Hospital | $642cash | 5.1× | ★★★★★ |
| St. David's South Austin Medical Center (Austin) | Hospital | $815cash | 6.5× | ★★★★★ |
| HCA Houston Healthcare West (Houston) | Hospital | $820cash | 6.6× | ★★★★★ |
| Methodist Hospital Metropolitan (San Antonio) | Hospital | $856cash | 6.8× | — |
| Methodist Hospital Stone Oak (San Antonio) | Hospital | $856cash | 6.8× | ★★★★★ |
| Methodist Hospital (San Antonio) | Hospital | $856cash | 6.8× | ★★★★★ |
| Methodist Hospital Texsan (San Antonio) | Hospital | $856cash | 6.8× | — |
| Texas Health Presbyterian Hospital Kaufman | Hospital | $873cash | 7.0× | — |
| Valley Baptist Medical Center – Brownsville | Hospital | $943cash | 7.5× | ★★★★★ |
| Medical City Dallas Hospital (Dallas) | Hospital | $1,098cash | 8.8× | ★★★★★ |
| Texas Children's Hospital (Houston) | Hospital | $1,170cash | 9.4× | — |
| Northeast Baptist Hospital (San Antonio) | Hospital | $1,193cash | 9.5× | — |
| St. Luke's Baptist Hospital (San Antonio) | Hospital | $1,193cash | 9.5× | — |
| North Central Baptist Hospital (San Antonio) | Hospital | $1,193cash | 9.5× | — |
| HCA Houston Healthcare Clear Lake (Webster) gross charge | Hospital | $1,387cash | 11.1× | ★★★★★ |
| St. David's Round Rock Medical Center (Round Rock) gross charge | Hospital | $1,568cash | 12.5× | — |
| Valley Baptist Medical Center – Harlingen gross charge | Hospital | $1,728cash | 13.8× | — |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 3 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- For 99214 (Office visit, established, level 4), Medicare's benchmark rate is $125.18. A fair self-pay target for this line is $250.36. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99214 is $289.00, and negotiated rates at nearby facilities run $145.32–$614.26. 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.
See office visit, established, level 4 prices in another area
What should 99214 cost in Texas?
For office visit, established, level 4 (CPT 99214) in Texas, a fair self-pay price is around $278, with hospitals ranging from $145 to $614 across 69 facilities. Medicare's benchmark rate is $125, 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 4 cost in Texas?
A fair self-pay price for office visit, established, level 4 (CPT 99214) in Texas is around $278, with hospital prices ranging from $145 to $614 across 69 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99214?
Medicare pays about $125 for office visit, established, level 4 (CPT 99214). 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 4?
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.
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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.