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Charge Type Setting Price  
Service Code HCPCS 73721 LT
Hospital Charge Code 3700036
Hospital Revenue Code 610
Rate for Payer: Cash Price $2,656.76
Service Code HCPCS 73721 RT
Hospital Charge Code 3700283
Hospital Revenue Code 610
Min. Negotiated Rate $208.84
Max. Negotiated Rate $2,813.04
Rate for Payer: Amerigroup CHIP/Medicaid $208.84
Rate for Payer: BCBS of TX Blue Advantage $384.52
Rate for Payer: BCBS of TX Blue Essentials $461.42
Rate for Payer: BCBS of TX PPO $515.02
Rate for Payer: Cash Price $2,656.76
Rate for Payer: Cash Price $2,656.76
Rate for Payer: Cash Price $2,656.76
Rate for Payer: Cigna Commercial $506.65
Rate for Payer: Cigna Medicaid $2,813.04
Rate for Payer: Molina CHIP/Medicaid $2,813.04
Rate for Payer: Multiplan Auto $2,539.55
Rate for Payer: Multiplan Commercial $2,539.55
Rate for Payer: Multiplan Workers Comp $2,539.55
Rate for Payer: Parkland Medicaid $2,813.04
Rate for Payer: Scott and White EPO/PPO $1,953.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $2,813.04
Rate for Payer: Superior Health Plan EPO $531.35
Service Code HCPCS 73721 RT
Hospital Charge Code 3700283
Hospital Revenue Code 610
Rate for Payer: Cash Price $2,656.76
Service Code HCPCS 73723 LT
Hospital Charge Code 3750643
Hospital Revenue Code 610
Rate for Payer: Cash Price $3,635.96
Service Code HCPCS 73723 LT
Hospital Charge Code 3750643
Hospital Revenue Code 610
Min. Negotiated Rate $366.42
Max. Negotiated Rate $3,849.84
Rate for Payer: Amerigroup CHIP/Medicaid $366.42
Rate for Payer: BCBS of TX Blue Advantage $630.05
Rate for Payer: BCBS of TX Blue Essentials $756.06
Rate for Payer: BCBS of TX PPO $843.89
Rate for Payer: Cash Price $3,635.96
Rate for Payer: Cash Price $3,635.96
Rate for Payer: Cash Price $3,635.96
Rate for Payer: Cigna Commercial $740.81
Rate for Payer: Cigna Medicaid $3,849.84
Rate for Payer: Molina CHIP/Medicaid $3,849.84
Rate for Payer: Multiplan Auto $3,475.55
Rate for Payer: Multiplan Commercial $3,475.55
Rate for Payer: Multiplan Workers Comp $3,475.55
Rate for Payer: Parkland Medicaid $3,849.84
Rate for Payer: Scott and White EPO/PPO $2,673.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $3,849.84
Rate for Payer: Superior Health Plan EPO $727.19
Service Code HCPCS 73723 RT
Hospital Charge Code 3750833
Hospital Revenue Code 610
Min. Negotiated Rate $366.42
Max. Negotiated Rate $3,849.84
Rate for Payer: Amerigroup CHIP/Medicaid $366.42
Rate for Payer: BCBS of TX Blue Advantage $630.05
Rate for Payer: BCBS of TX Blue Essentials $756.06
Rate for Payer: BCBS of TX PPO $843.89
Rate for Payer: Cash Price $3,635.96
Rate for Payer: Cash Price $3,635.96
Rate for Payer: Cash Price $3,635.96
Rate for Payer: Cigna Commercial $740.81
Rate for Payer: Cigna Medicaid $3,849.84
Rate for Payer: Molina CHIP/Medicaid $3,849.84
Rate for Payer: Multiplan Auto $3,475.55
Rate for Payer: Multiplan Commercial $3,475.55
Rate for Payer: Multiplan Workers Comp $3,475.55
Rate for Payer: Parkland Medicaid $3,849.84
Rate for Payer: Scott and White EPO/PPO $2,673.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $3,849.84
Rate for Payer: Superior Health Plan EPO $727.19
Service Code HCPCS 73723 RT
Hospital Charge Code 3750833
Hospital Revenue Code 610
Rate for Payer: Cash Price $3,635.96
Service Code HCPCS 70551
Hospital Charge Code 5250802
Hospital Revenue Code 611
Rate for Payer: Cash Price $3,417.68
Service Code HCPCS 70551
Hospital Charge Code 5250802
Hospital Revenue Code 611
Min. Negotiated Rate $202.15
Max. Negotiated Rate $3,618.72
Rate for Payer: Amerigroup CHIP/Medicaid $202.15
Rate for Payer: Amerigroup Dual Medicare/Medicaid $239.69
Rate for Payer: Amerigroup Medicare $239.69
Rate for Payer: BCBS of TX Blue Advantage $384.52
Rate for Payer: BCBS of TX Blue Essentials $461.42
Rate for Payer: BCBS of TX Medicare $239.69
Rate for Payer: BCBS of TX PPO $515.02
Rate for Payer: Cash Price $3,417.68
Rate for Payer: Cash Price $3,417.68
Rate for Payer: Cash Price $3,417.68
Rate for Payer: Cigna Commercial $506.65
Rate for Payer: Cigna Medicaid $3,618.72
Rate for Payer: Cigna Medicare $239.69
Rate for Payer: Employer Direct Commercial $239.69
Rate for Payer: Humana Medicare/TRICARE $239.69
Rate for Payer: Molina CHIP/Medicaid $3,618.72
Rate for Payer: Molina Dual Medicare/Medicaid $239.69
Rate for Payer: Molina Medicare $239.69
Rate for Payer: Multiplan Auto $3,266.90
Rate for Payer: Multiplan Commercial $3,266.90
Rate for Payer: Multiplan Workers Comp $3,266.90
Rate for Payer: Parkland Medicaid $3,618.72
Rate for Payer: Scott and White EPO/PPO $249.07
Rate for Payer: Scott and White Medicare $239.69
Rate for Payer: Superior Health Plan CHIP/Medicaid $3,618.72
Rate for Payer: Superior Health Plan EPO $239.69
Rate for Payer: Superior Health Plan Medicare $239.69
Rate for Payer: Universal American Dual Medicare/Medicaid $239.69
Rate for Payer: Universal American Medicare $239.69
Rate for Payer: Wellcare Medicare $239.69
Rate for Payer: Wellmed Medicare $239.69
Service Code HCPCS 70552
Hospital Charge Code 3700200
Hospital Revenue Code 611
Min. Negotiated Rate $278.66
Max. Negotiated Rate $4,206.96
Rate for Payer: Amerigroup CHIP/Medicaid $278.66
Rate for Payer: Amerigroup Dual Medicare/Medicaid $350.46
Rate for Payer: Amerigroup Medicare $350.46
Rate for Payer: BCBS of TX Blue Advantage $630.05
Rate for Payer: BCBS of TX Blue Essentials $756.06
Rate for Payer: BCBS of TX Medicare $350.46
Rate for Payer: BCBS of TX PPO $843.89
Rate for Payer: Cash Price $3,973.24
Rate for Payer: Cash Price $3,973.24
Rate for Payer: Cash Price $3,973.24
Rate for Payer: Cigna Commercial $740.81
Rate for Payer: Cigna Medicaid $4,206.96
Rate for Payer: Cigna Medicare $350.46
Rate for Payer: Employer Direct Commercial $350.46
Rate for Payer: Humana Medicare/TRICARE $350.46
Rate for Payer: Molina CHIP/Medicaid $4,206.96
Rate for Payer: Molina Dual Medicare/Medicaid $350.46
Rate for Payer: Molina Medicare $350.46
Rate for Payer: Multiplan Auto $3,797.95
Rate for Payer: Multiplan Commercial $3,797.95
Rate for Payer: Multiplan Workers Comp $3,797.95
Rate for Payer: Parkland Medicaid $4,206.96
Rate for Payer: Scott and White EPO/PPO $343.40
Rate for Payer: Scott and White Medicare $350.46
Rate for Payer: Superior Health Plan CHIP/Medicaid $4,206.96
Rate for Payer: Superior Health Plan EPO $350.46
Rate for Payer: Superior Health Plan Medicare $350.46
Rate for Payer: Universal American Dual Medicare/Medicaid $350.46
Rate for Payer: Universal American Medicare $350.46
Rate for Payer: Wellcare Medicare $350.46
Rate for Payer: Wellmed Medicare $350.46
Service Code HCPCS 70552
Hospital Charge Code 3700200
Hospital Revenue Code 611
Rate for Payer: Cash Price $3,973.24
Service Code HCPCS 70551
Hospital Charge Code 3700192
Hospital Revenue Code 611
Min. Negotiated Rate $202.15
Max. Negotiated Rate $3,618.72
Rate for Payer: Amerigroup CHIP/Medicaid $202.15
Rate for Payer: Amerigroup Dual Medicare/Medicaid $239.69
Rate for Payer: Amerigroup Medicare $239.69
Rate for Payer: BCBS of TX Blue Advantage $384.52
Rate for Payer: BCBS of TX Blue Essentials $461.42
Rate for Payer: BCBS of TX Medicare $239.69
Rate for Payer: BCBS of TX PPO $515.02
Rate for Payer: Cash Price $3,417.68
Rate for Payer: Cash Price $3,417.68
Rate for Payer: Cash Price $3,417.68
Rate for Payer: Cigna Commercial $506.65
Rate for Payer: Cigna Medicaid $3,618.72
Rate for Payer: Cigna Medicare $239.69
Rate for Payer: Employer Direct Commercial $239.69
Rate for Payer: Humana Medicare/TRICARE $239.69
Rate for Payer: Molina CHIP/Medicaid $3,618.72
Rate for Payer: Molina Dual Medicare/Medicaid $239.69
Rate for Payer: Molina Medicare $239.69
Rate for Payer: Multiplan Auto $3,266.90
Rate for Payer: Multiplan Commercial $3,266.90
Rate for Payer: Multiplan Workers Comp $3,266.90
Rate for Payer: Parkland Medicaid $3,618.72
Rate for Payer: Scott and White EPO/PPO $249.07
Rate for Payer: Scott and White Medicare $239.69
Rate for Payer: Superior Health Plan CHIP/Medicaid $3,618.72
Rate for Payer: Superior Health Plan EPO $239.69
Rate for Payer: Superior Health Plan Medicare $239.69
Rate for Payer: Universal American Dual Medicare/Medicaid $239.69
Rate for Payer: Universal American Medicare $239.69
Rate for Payer: Wellcare Medicare $239.69
Rate for Payer: Wellmed Medicare $239.69
Service Code HCPCS 70551
Hospital Charge Code 3700192
Hospital Revenue Code 611
Rate for Payer: Cash Price $3,417.68
Service Code HCPCS 70553
Hospital Charge Code 3700069
Hospital Revenue Code 611
Rate for Payer: Cash Price $6,093.48
Service Code HCPCS 70553
Hospital Charge Code 3700069
Hospital Revenue Code 611
Min. Negotiated Rate $328.11
Max. Negotiated Rate $6,451.92
Rate for Payer: Amerigroup CHIP/Medicaid $328.11
Rate for Payer: Amerigroup Dual Medicare/Medicaid $350.46
Rate for Payer: Amerigroup Medicare $350.46
Rate for Payer: BCBS of TX Blue Advantage $630.05
Rate for Payer: BCBS of TX Blue Essentials $756.06
Rate for Payer: BCBS of TX Medicare $350.46
Rate for Payer: BCBS of TX PPO $843.89
Rate for Payer: Cash Price $6,093.48
Rate for Payer: Cash Price $6,093.48
Rate for Payer: Cash Price $6,093.48
Rate for Payer: Cigna Commercial $740.81
Rate for Payer: Cigna Medicaid $6,451.92
Rate for Payer: Cigna Medicare $350.46
Rate for Payer: Employer Direct Commercial $350.46
Rate for Payer: Humana Medicare/TRICARE $350.46
Rate for Payer: Molina CHIP/Medicaid $6,451.92
Rate for Payer: Molina Dual Medicare/Medicaid $350.46
Rate for Payer: Molina Medicare $350.46
Rate for Payer: Multiplan Auto $5,824.65
Rate for Payer: Multiplan Commercial $5,824.65
Rate for Payer: Multiplan Workers Comp $5,824.65
Rate for Payer: Parkland Medicaid $6,451.92
Rate for Payer: Scott and White EPO/PPO $404.32
Rate for Payer: Scott and White Medicare $350.46
Rate for Payer: Superior Health Plan CHIP/Medicaid $6,451.92
Rate for Payer: Superior Health Plan EPO $350.46
Rate for Payer: Superior Health Plan Medicare $350.46
Rate for Payer: Universal American Dual Medicare/Medicaid $350.46
Rate for Payer: Universal American Medicare $350.46
Rate for Payer: Wellcare Medicare $350.46
Rate for Payer: Wellmed Medicare $350.46
Service Code HCPCS 71550
Hospital Charge Code 3700077
Hospital Revenue Code 610
Rate for Payer: Cash Price $2,936.92
Service Code HCPCS 71550
Hospital Charge Code 3700077
Hospital Revenue Code 610
Min. Negotiated Rate $233.47
Max. Negotiated Rate $3,109.68
Rate for Payer: Amerigroup CHIP/Medicaid $233.47
Rate for Payer: Amerigroup Dual Medicare/Medicaid $239.69
Rate for Payer: Amerigroup Medicare $239.69
Rate for Payer: BCBS of TX Blue Advantage $384.52
Rate for Payer: BCBS of TX Blue Essentials $461.42
Rate for Payer: BCBS of TX Medicare $239.69
Rate for Payer: BCBS of TX PPO $515.02
Rate for Payer: Cash Price $2,936.92
Rate for Payer: Cash Price $2,936.92
Rate for Payer: Cash Price $2,936.92
Rate for Payer: Cigna Commercial $506.65
Rate for Payer: Cigna Medicaid $3,109.68
Rate for Payer: Cigna Medicare $239.69
Rate for Payer: Employer Direct Commercial $239.69
Rate for Payer: Humana Medicare/TRICARE $239.69
Rate for Payer: Molina CHIP/Medicaid $3,109.68
Rate for Payer: Molina Dual Medicare/Medicaid $239.69
Rate for Payer: Molina Medicare $239.69
Rate for Payer: Multiplan Auto $2,807.35
Rate for Payer: Multiplan Commercial $2,807.35
Rate for Payer: Multiplan Workers Comp $2,807.35
Rate for Payer: Parkland Medicaid $3,109.68
Rate for Payer: Scott and White EPO/PPO $429.55
Rate for Payer: Scott and White Medicare $239.69
Rate for Payer: Superior Health Plan CHIP/Medicaid $3,109.68
Rate for Payer: Superior Health Plan EPO $239.69
Rate for Payer: Superior Health Plan Medicare $239.69
Rate for Payer: Universal American Dual Medicare/Medicaid $239.69
Rate for Payer: Universal American Medicare $239.69
Rate for Payer: Wellcare Medicare $239.69
Rate for Payer: Wellmed Medicare $239.69
Service Code HCPCS 71552
Hospital Charge Code 3750767
Hospital Revenue Code 610
Min. Negotiated Rate $350.46
Max. Negotiated Rate $4,236.48
Rate for Payer: Amerigroup CHIP/Medicaid $366.42
Rate for Payer: Amerigroup Dual Medicare/Medicaid $350.46
Rate for Payer: Amerigroup Medicare $350.46
Rate for Payer: BCBS of TX Blue Advantage $630.05
Rate for Payer: BCBS of TX Blue Essentials $756.06
Rate for Payer: BCBS of TX Medicare $350.46
Rate for Payer: BCBS of TX PPO $843.89
Rate for Payer: Cash Price $4,001.12
Rate for Payer: Cash Price $4,001.12
Rate for Payer: Cash Price $4,001.12
Rate for Payer: Cigna Commercial $740.81
Rate for Payer: Cigna Medicaid $4,236.48
Rate for Payer: Cigna Medicare $350.46
Rate for Payer: Employer Direct Commercial $350.46
Rate for Payer: Humana Medicare/TRICARE $350.46
Rate for Payer: Molina CHIP/Medicaid $4,236.48
Rate for Payer: Molina Dual Medicare/Medicaid $350.46
Rate for Payer: Molina Medicare $350.46
Rate for Payer: Multiplan Auto $3,824.60
Rate for Payer: Multiplan Commercial $3,824.60
Rate for Payer: Multiplan Workers Comp $3,824.60
Rate for Payer: Parkland Medicaid $4,236.48
Rate for Payer: Scott and White EPO/PPO $599.23
Rate for Payer: Scott and White Medicare $350.46
Rate for Payer: Superior Health Plan CHIP/Medicaid $4,236.48
Rate for Payer: Superior Health Plan EPO $350.46
Rate for Payer: Superior Health Plan Medicare $350.46
Rate for Payer: Universal American Dual Medicare/Medicaid $350.46
Rate for Payer: Universal American Medicare $350.46
Rate for Payer: Wellcare Medicare $350.46
Rate for Payer: Wellmed Medicare $350.46
Service Code HCPCS 71552
Hospital Charge Code 3750767
Hospital Revenue Code 610
Rate for Payer: Cash Price $4,001.12
Service Code HCPCS 73222 LT
Hospital Charge Code 3740072
Hospital Revenue Code 610
Rate for Payer: Cash Price $2,530.96
Service Code HCPCS 73222 LT
Hospital Charge Code 3740072
Hospital Revenue Code 610
Min. Negotiated Rate $323.10
Max. Negotiated Rate $2,679.84
Rate for Payer: Amerigroup CHIP/Medicaid $323.10
Rate for Payer: BCBS of TX Blue Advantage $1,123.35
Rate for Payer: BCBS of TX Blue Essentials $1,348.02
Rate for Payer: BCBS of TX PPO $1,504.61
Rate for Payer: Cash Price $2,530.96
Rate for Payer: Cash Price $2,530.96
Rate for Payer: Cash Price $2,530.96
Rate for Payer: Cigna Commercial $1,664.61
Rate for Payer: Cigna Medicaid $2,679.84
Rate for Payer: Molina CHIP/Medicaid $2,679.84
Rate for Payer: Multiplan Auto $2,419.30
Rate for Payer: Multiplan Commercial $2,419.30
Rate for Payer: Multiplan Workers Comp $2,419.30
Rate for Payer: Parkland Medicaid $2,679.84
Rate for Payer: Scott and White EPO/PPO $1,861.00
Rate for Payer: Superior Health Plan CHIP/Medicaid $2,679.84
Rate for Payer: Superior Health Plan EPO $506.19
Service Code HCPCS 73222 RT
Hospital Charge Code 3750155
Hospital Revenue Code 610
Min. Negotiated Rate $323.10
Max. Negotiated Rate $2,679.84
Rate for Payer: Amerigroup CHIP/Medicaid $323.10
Rate for Payer: BCBS of TX Blue Advantage $1,123.35
Rate for Payer: BCBS of TX Blue Essentials $1,348.02
Rate for Payer: BCBS of TX PPO $1,504.61
Rate for Payer: Cash Price $2,530.96
Rate for Payer: Cash Price $2,530.96
Rate for Payer: Cash Price $2,530.96
Rate for Payer: Cigna Commercial $1,664.61
Rate for Payer: Cigna Medicaid $2,679.84
Rate for Payer: Molina CHIP/Medicaid $2,679.84
Rate for Payer: Multiplan Auto $2,419.30
Rate for Payer: Multiplan Commercial $2,419.30
Rate for Payer: Multiplan Workers Comp $2,419.30
Rate for Payer: Parkland Medicaid $2,679.84
Rate for Payer: Scott and White EPO/PPO $1,861.00
Rate for Payer: Superior Health Plan CHIP/Medicaid $2,679.84
Rate for Payer: Superior Health Plan EPO $506.19
Service Code HCPCS 73222 RT
Hospital Charge Code 3750155
Hospital Revenue Code 610
Rate for Payer: Cash Price $2,530.96
Service Code HCPCS 70540
Hospital Charge Code 3700085
Hospital Revenue Code 611
Min. Negotiated Rate $233.23
Max. Negotiated Rate $2,610.00
Rate for Payer: Amerigroup CHIP/Medicaid $233.23
Rate for Payer: Amerigroup Dual Medicare/Medicaid $239.69
Rate for Payer: Amerigroup Medicare $239.69
Rate for Payer: BCBS of TX Blue Advantage $384.52
Rate for Payer: BCBS of TX Blue Essentials $461.42
Rate for Payer: BCBS of TX Medicare $239.69
Rate for Payer: BCBS of TX PPO $515.02
Rate for Payer: Cash Price $2,465.00
Rate for Payer: Cash Price $2,465.00
Rate for Payer: Cash Price $2,465.00
Rate for Payer: Cigna Commercial $506.65
Rate for Payer: Cigna Medicaid $2,610.00
Rate for Payer: Cigna Medicare $239.69
Rate for Payer: Employer Direct Commercial $239.69
Rate for Payer: Humana Medicare/TRICARE $239.69
Rate for Payer: Molina CHIP/Medicaid $2,610.00
Rate for Payer: Molina Dual Medicare/Medicaid $239.69
Rate for Payer: Molina Medicare $239.69
Rate for Payer: Multiplan Auto $2,356.25
Rate for Payer: Multiplan Commercial $2,356.25
Rate for Payer: Multiplan Workers Comp $2,356.25
Rate for Payer: Parkland Medicaid $2,610.00
Rate for Payer: Scott and White EPO/PPO $287.44
Rate for Payer: Scott and White Medicare $239.69
Rate for Payer: Superior Health Plan CHIP/Medicaid $2,610.00
Rate for Payer: Superior Health Plan EPO $239.69
Rate for Payer: Superior Health Plan Medicare $239.69
Rate for Payer: Universal American Dual Medicare/Medicaid $239.69
Rate for Payer: Universal American Medicare $239.69
Rate for Payer: Wellcare Medicare $239.69
Rate for Payer: Wellmed Medicare $239.69
Service Code HCPCS 70540
Hospital Charge Code 3700085
Hospital Revenue Code 611
Rate for Payer: Cash Price $2,465.00