How much does office visit, established, level 5 cost in Texas?
CPT 99215 — 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.
99215 Office visit, established, level 5
Ask to pay
$351
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
Typical
$484
Medicare $176
Ask $351
$30 lowboxed = typical rangehigh $5,040
What Medicare paysⓘ
$176
Typical price near you
$484
Cash / self-pay price
$484
Prices near you — 67 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| University Medical Center of El Paso lowest ⚠ likely error | Hospital | $30cash | 0.2× | ★★★★★ |
| CHRISTUS Santa Rosa Hospital – Westover Hills (San Antonio) ⚠ likely error | Hospital | $37cash | 0.2× | — |
| University Hospital - University Health (San Antonio) | Hospital | $86cash | 0.5× | — |
| Methodist Hospital (San Antonio) | Hospital | $125cash | 0.7× | ★★★★★ |
| Methodist Hospital Stone Oak (San Antonio) | Hospital | $125cash | 0.7× | ★★★★★ |
| Harris Health Ben Taub Hospital (Houston) | 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× | ★★★★★ |
| Texas Health Harris Methodist Hospital Southlake | Hospital | $201negotiated | 1.1× | — |
| Medical City Fort Worth | Hospital | $220cash | 1.3× | ★★★★★ |
| Methodist Dallas Medical Center (Dallas) | Hospital | $220cash | 1.3× | ★★★★★ |
| Parkland Health (Dallas) | Hospital | $252cash | 1.4× | ★★★★★ |
| Shannon Medical Center (San Angelo) | Hospital | $293cash | 1.7× | ★★★★★ |
| Cook Children's Medical Center (Fort Worth) | Hospital | $306cash | 1.7× | — |
| 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× | ★★★★★ |
| Texas Health Harris Methodist Hospital Azle | Hospital | $357cash | 2.0× | — |
| JPS Health Network – John Peter Smith Hospital (Fort Worth) | Hospital | $359cash | 2.0× | ★★★★★ |
| HCA Houston Healthcare Northwest (Houston) | Hospital | $364negotiated | 2.1× | ★★★★★ |
| UMC Health System – University Medical Center (Lubbock) | Hospital | $365negotiated | 2.1× | ★★★★★ |
| Medical City Frisco | Hospital | $366cash | 2.1× | — |
| Ascension Seton Medical Center Austin | Hospital | $384negotiated | 2.2× | ★★★★★ |
| Dell Seton Medical Center at UT (Austin) | Hospital | $384negotiated | 2.2× | ★★★★★ |
| UT Southwestern William P. Clements Jr. University Hospital (Dallas) | Hospital | $420cash | 2.4× | ★★★★★ |
| Texas Health Arlington Memorial Hospital (Arlington) | Hospital | $484cash | 2.8× | — |
| Texas Health Harris Methodist Hospital Stephenville | Hospital | $484cash | 2.8× | — |
| Texas Health Presbyterian Hospital Dallas | Hospital | $484cash | 2.8× | — |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Hospital | $484cash | 2.8× | — |
| Texas Health Hospital Frisco | Hospital | $484cash | 2.8× | — |
| Texas Health Presbyterian Hospital Plano | Hospital | $484cash | 2.8× | — |
| Texas Health Presbyterian Hospital Flower Mound | Hospital | $484cash | 2.8× | — |
| Texas Health Hospital Rockwall | Hospital | $484cash | 2.8× | — |
| Texas Health Harris Methodist Hospital Fort Worth | Hospital | $484cash | 2.8× | — |
| Texas Health Harris Methodist Hospital Cleburne | Hospital | $484cash | 2.8× | — |
| Texas Health Presbyterian Hospital Allen | Hospital | $484cash | 2.8× | — |
| Texas Health Presbyterian Hospital Denton | Hospital | $484cash | 2.8× | — |
| Texas Health Harris Methodist Hospital Alliance (Fort Worth) | Hospital | $484cash | 2.8× | — |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Hospital | $484cash | 2.8× | — |
| Covenant Medical Center (Lubbock) | Hospital | $511cash | 2.9× | ★★★★★ |
| Doctors Hospital at Renaissance (Edinburg) | Hospital | $547cash | 3.1× | — |
| Medical City Plano | Hospital | $574cash | 3.3× | ★★★★★ |
| HCA Houston Healthcare Medical Center (Houston) | Hospital | $580cash | 3.3× | ★★★★★ |
| The Hospitals of Providence Sierra Campus (El Paso) | Hospital | $662cash | 3.8× | — |
| The Hospitals of Providence Transmountain Campus (El Paso) | Hospital | $670cash | 3.8× | ★★★★★ |
| The Hospitals of Providence Memorial Campus (El Paso) | Hospital | $671cash | 3.8× | ★★★★★ |
| HCA Houston Healthcare Clear Lake (Webster) | Hospital | $885cash | 5.0× | ★★★★★ |
| HCA Houston Healthcare West (Houston) | Hospital | $905cash | 5.2× | ★★★★★ |
| Valley Baptist Medical Center – Brownsville | Hospital | $918cash | 5.2× | ★★★★★ |
| St. David's South Austin Medical Center (Austin) | Hospital | $1,049cash | 6.0× | ★★★★★ |
| Texas Health Presbyterian Hospital Kaufman | Hospital | $1,075cash | 6.1× | — |
| Medical City Dallas Hospital (Dallas) | Hospital | $1,100cash | 6.3× | ★★★★★ |
| Methodist Hospital Texsan (San Antonio) | Hospital | $1,101cash | 6.3× | — |
| Methodist Hospital Metropolitan (San Antonio) | Hospital | $1,247cash | 7.1× | — |
| St. David's North Austin Medical Center (Austin) | Hospital | $1,309cash | 7.5× | — |
| St. Luke's Baptist Hospital (San Antonio) | Hospital | $1,355cash | 7.7× | — |
| Northeast Baptist Hospital (San Antonio) | Hospital | $1,355cash | 7.7× | — |
| North Central Baptist Hospital (San Antonio) | Hospital | $1,355cash | 7.7× | — |
| Texas Children's Hospital (Houston) | Hospital | $1,432cash | 8.2× | — |
| Valley Baptist Medical Center – Harlingen gross charge | Hospital | $2,086cash | 11.9× | — |
| St. David's Round Rock Medical Center (Round Rock) gross charge | Hospital | $2,299cash | 13.1× | — |
| St. David's Medical Center (Austin) gross charge | Hospital | $2,583cash | 14.7× | ★★★★★ |
| UT MD Anderson Cancer Center (Houston) gross charge | Hospital | $5,040negotiated | 28.7× | — |
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. 6 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- For 99215 (Office visit, established, level 5), Medicare's benchmark rate is $175.64. A fair self-pay target for this line is $351.28. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99215 is $484.35, and negotiated rates at nearby facilities run $293.00–$884.58. 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 5 prices in another area
What should 99215 cost in Texas?
For office visit, established, level 5 (CPT 99215) in Texas, a fair self-pay price is around $484, with hospitals ranging from $293 to $885 across 67 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 Texas?
A fair self-pay price for office visit, established, level 5 (CPT 99215) in Texas is around $484, with hospital prices ranging from $293 to $885 across 67 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.
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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.