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Service Code CPT 74280 FY
Hospital Charge Code 3101151
Hospital Revenue Code 320
Min. Negotiated Rate $3.01
Max. Negotiated Rate $579.80
Rate for Payer: Aetna Commercial $193.99
Rate for Payer: Aetna Medicare $252.04
Rate for Payer: Amerigroup CHIP/Medicaid $180.34
Rate for Payer: Amerigroup Dual Medicare/Medicaid $168.03
Rate for Payer: Amerigroup Medicare $168.03
Rate for Payer: BCBS of TX Blue Advantage $300.66
Rate for Payer: BCBS of TX Blue Essentials $360.80
Rate for Payer: BCBS of TX Medicare $168.03
Rate for Payer: BCBS of TX PPO $402.71
Rate for Payer: Cash Price $784.96
Rate for Payer: Cash Price $784.96
Rate for Payer: Cash Price $784.96
Rate for Payer: Cigna Commercial $380.65
Rate for Payer: Cigna Medicaid $180.34
Rate for Payer: Cigna Medicare $168.03
Rate for Payer: Employer Direct Commercial $168.03
Rate for Payer: Humana Medicare/TRICARE $168.03
Rate for Payer: Molina CHIP/Medicaid $180.34
Rate for Payer: Molina Dual Medicare/Medicaid $168.03
Rate for Payer: Molina Medicare $168.03
Rate for Payer: Multiplan Auto $579.80
Rate for Payer: Multiplan Commercial $579.80
Rate for Payer: Multiplan Workers Comp $579.80
Rate for Payer: Parkland Medicaid $180.34
Rate for Payer: Scott and White EPO/PPO $3.01
Rate for Payer: Scott and White Medicare $168.03
Rate for Payer: Superior Health Plan CHIP/Medicaid $180.34
Rate for Payer: Superior Health Plan EPO $168.03
Rate for Payer: Superior Health Plan Medicare $168.03
Rate for Payer: Universal American Dual Medicare/Medicaid $168.03
Rate for Payer: Universal American Medicare $168.03
Rate for Payer: Wellcare Medicare $168.03
Rate for Payer: Wellmed Medicare $168.03
Service Code CPT 74280 FY
Hospital Charge Code 3101151
Hospital Revenue Code 320
Rate for Payer: Cash Price $784.96
Service Code CPT 74280 FY
Hospital Charge Code 3101151
Hospital Revenue Code 320
Min. Negotiated Rate $3.01
Max. Negotiated Rate $579.80
Rate for Payer: Aetna Commercial $193.99
Rate for Payer: Aetna Medicare $252.04
Rate for Payer: Amerigroup CHIP/Medicaid $180.34
Rate for Payer: Amerigroup Dual Medicare/Medicaid $168.03
Rate for Payer: Amerigroup Medicare $168.03
Rate for Payer: BCBS of TX Blue Advantage $300.66
Rate for Payer: BCBS of TX Blue Essentials $360.80
Rate for Payer: BCBS of TX Medicare $168.03
Rate for Payer: BCBS of TX PPO $402.71
Rate for Payer: Cash Price $784.96
Rate for Payer: Cash Price $784.96
Rate for Payer: Cash Price $784.96
Rate for Payer: Cigna Commercial $380.65
Rate for Payer: Cigna Medicaid $180.34
Rate for Payer: Cigna Medicare $168.03
Rate for Payer: Employer Direct Commercial $168.03
Rate for Payer: Humana Medicare/TRICARE $168.03
Rate for Payer: Molina CHIP/Medicaid $180.34
Rate for Payer: Molina Dual Medicare/Medicaid $168.03
Rate for Payer: Molina Medicare $168.03
Rate for Payer: Multiplan Auto $579.80
Rate for Payer: Multiplan Commercial $579.80
Rate for Payer: Multiplan Workers Comp $579.80
Rate for Payer: Parkland Medicaid $180.34
Rate for Payer: Scott and White EPO/PPO $3.01
Rate for Payer: Scott and White Medicare $168.03
Rate for Payer: Superior Health Plan CHIP/Medicaid $180.34
Rate for Payer: Superior Health Plan EPO $168.03
Rate for Payer: Superior Health Plan Medicare $168.03
Rate for Payer: Universal American Dual Medicare/Medicaid $168.03
Rate for Payer: Universal American Medicare $168.03
Rate for Payer: Wellcare Medicare $168.03
Rate for Payer: Wellmed Medicare $168.03
Service Code CPT 77072 FY
Hospital Charge Code 3170082
Hospital Revenue Code 320
Min. Negotiated Rate $1.80
Max. Negotiated Rate $392.60
Rate for Payer: Aetna Commercial $19.46
Rate for Payer: Aetna Medicare $150.82
Rate for Payer: Amerigroup CHIP/Medicaid $26.06
Rate for Payer: Amerigroup Dual Medicare/Medicaid $100.55
Rate for Payer: Amerigroup Medicare $100.55
Rate for Payer: BCBS of TX Blue Advantage $184.93
Rate for Payer: BCBS of TX Blue Essentials $221.92
Rate for Payer: BCBS of TX Medicare $100.55
Rate for Payer: BCBS of TX PPO $247.70
Rate for Payer: Cash Price $531.52
Rate for Payer: Cash Price $531.52
Rate for Payer: Cash Price $531.52
Rate for Payer: Cigna Commercial $227.77
Rate for Payer: Cigna Medicaid $26.06
Rate for Payer: Cigna Medicare $100.55
Rate for Payer: Employer Direct Commercial $100.55
Rate for Payer: Humana Medicare/TRICARE $100.55
Rate for Payer: Molina CHIP/Medicaid $26.06
Rate for Payer: Molina Dual Medicare/Medicaid $100.55
Rate for Payer: Molina Medicare $100.55
Rate for Payer: Multiplan Auto $392.60
Rate for Payer: Multiplan Commercial $392.60
Rate for Payer: Multiplan Workers Comp $392.60
Rate for Payer: Parkland Medicaid $26.06
Rate for Payer: Scott and White EPO/PPO $1.80
Rate for Payer: Scott and White Medicare $100.55
Rate for Payer: Superior Health Plan CHIP/Medicaid $26.06
Rate for Payer: Superior Health Plan EPO $100.55
Rate for Payer: Superior Health Plan Medicare $100.55
Rate for Payer: Universal American Dual Medicare/Medicaid $100.55
Rate for Payer: Universal American Medicare $100.55
Rate for Payer: Wellcare Medicare $100.55
Rate for Payer: Wellmed Medicare $100.55
Service Code CPT 77072 FY
Hospital Charge Code 3170082
Hospital Revenue Code 320
Min. Negotiated Rate $1.80
Max. Negotiated Rate $392.60
Rate for Payer: Aetna Commercial $19.46
Rate for Payer: Aetna Medicare $150.82
Rate for Payer: Amerigroup CHIP/Medicaid $26.06
Rate for Payer: Amerigroup Dual Medicare/Medicaid $100.55
Rate for Payer: Amerigroup Medicare $100.55
Rate for Payer: BCBS of TX Blue Advantage $184.93
Rate for Payer: BCBS of TX Blue Essentials $221.92
Rate for Payer: BCBS of TX Medicare $100.55
Rate for Payer: BCBS of TX PPO $247.70
Rate for Payer: Cash Price $531.52
Rate for Payer: Cash Price $531.52
Rate for Payer: Cash Price $531.52
Rate for Payer: Cigna Commercial $227.77
Rate for Payer: Cigna Medicaid $26.06
Rate for Payer: Cigna Medicare $100.55
Rate for Payer: Employer Direct Commercial $100.55
Rate for Payer: Humana Medicare/TRICARE $100.55
Rate for Payer: Molina CHIP/Medicaid $26.06
Rate for Payer: Molina Dual Medicare/Medicaid $100.55
Rate for Payer: Molina Medicare $100.55
Rate for Payer: Multiplan Auto $392.60
Rate for Payer: Multiplan Commercial $392.60
Rate for Payer: Multiplan Workers Comp $392.60
Rate for Payer: Parkland Medicaid $26.06
Rate for Payer: Scott and White EPO/PPO $1.80
Rate for Payer: Scott and White Medicare $100.55
Rate for Payer: Superior Health Plan CHIP/Medicaid $26.06
Rate for Payer: Superior Health Plan EPO $100.55
Rate for Payer: Superior Health Plan Medicare $100.55
Rate for Payer: Universal American Dual Medicare/Medicaid $100.55
Rate for Payer: Universal American Medicare $100.55
Rate for Payer: Wellcare Medicare $100.55
Rate for Payer: Wellmed Medicare $100.55
Service Code CPT 77072 FY
Hospital Charge Code 3170082
Hospital Revenue Code 320
Rate for Payer: Cash Price $531.52
Service Code CPT 73650 LT,FY
Hospital Charge Code 3101045
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $199.55
Rate for Payer: Aetna Commercial $24.10
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $28.74
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $270.16
Rate for Payer: Cash Price $270.16
Rate for Payer: Cash Price $270.16
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $28.74
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $28.74
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $199.55
Rate for Payer: Multiplan Commercial $199.55
Rate for Payer: Multiplan Workers Comp $199.55
Rate for Payer: Parkland Medicaid $28.74
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $28.74
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 73650 LT,FY
Hospital Charge Code 3101045
Hospital Revenue Code 320
Rate for Payer: Cash Price $270.16
Service Code CPT 73650 LT,FY
Hospital Charge Code 3101045
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $199.55
Rate for Payer: Aetna Commercial $24.10
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $28.74
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $270.16
Rate for Payer: Cash Price $270.16
Rate for Payer: Cash Price $270.16
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $28.74
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $28.74
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $199.55
Rate for Payer: Multiplan Commercial $199.55
Rate for Payer: Multiplan Workers Comp $199.55
Rate for Payer: Parkland Medicaid $28.74
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $28.74
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 73650 RT,FY
Hospital Charge Code 3101037
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $199.55
Rate for Payer: Aetna Commercial $24.10
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $28.74
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $270.16
Rate for Payer: Cash Price $270.16
Rate for Payer: Cash Price $270.16
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $28.74
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $28.74
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $199.55
Rate for Payer: Multiplan Commercial $199.55
Rate for Payer: Multiplan Workers Comp $199.55
Rate for Payer: Parkland Medicaid $28.74
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $28.74
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 73650 RT,FY
Hospital Charge Code 3101037
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $199.55
Rate for Payer: Aetna Commercial $24.10
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $28.74
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $270.16
Rate for Payer: Cash Price $270.16
Rate for Payer: Cash Price $270.16
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $28.74
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $28.74
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $199.55
Rate for Payer: Multiplan Commercial $199.55
Rate for Payer: Multiplan Workers Comp $199.55
Rate for Payer: Parkland Medicaid $28.74
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $28.74
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 73650 RT,FY
Hospital Charge Code 3101037
Hospital Revenue Code 320
Rate for Payer: Cash Price $270.16
Service Code CPT 74210 FY
Hospital Charge Code 4904210
Hospital Revenue Code 320
Min. Negotiated Rate $3.01
Max. Negotiated Rate $553.15
Rate for Payer: Aetna Commercial $82.27
Rate for Payer: Aetna Medicare $252.04
Rate for Payer: Amerigroup CHIP/Medicaid $97.56
Rate for Payer: Amerigroup Dual Medicare/Medicaid $168.03
Rate for Payer: Amerigroup Medicare $168.03
Rate for Payer: BCBS of TX Blue Advantage $300.66
Rate for Payer: BCBS of TX Blue Essentials $360.80
Rate for Payer: BCBS of TX Medicare $168.03
Rate for Payer: BCBS of TX PPO $402.71
Rate for Payer: Cash Price $748.88
Rate for Payer: Cash Price $748.88
Rate for Payer: Cash Price $748.88
Rate for Payer: Cigna Commercial $380.65
Rate for Payer: Cigna Medicaid $97.56
Rate for Payer: Cigna Medicare $168.03
Rate for Payer: Employer Direct Commercial $168.03
Rate for Payer: Humana Medicare/TRICARE $168.03
Rate for Payer: Molina CHIP/Medicaid $97.56
Rate for Payer: Molina Dual Medicare/Medicaid $168.03
Rate for Payer: Molina Medicare $168.03
Rate for Payer: Multiplan Auto $553.15
Rate for Payer: Multiplan Commercial $553.15
Rate for Payer: Multiplan Workers Comp $553.15
Rate for Payer: Parkland Medicaid $97.56
Rate for Payer: Scott and White EPO/PPO $3.01
Rate for Payer: Scott and White Medicare $168.03
Rate for Payer: Superior Health Plan CHIP/Medicaid $97.56
Rate for Payer: Superior Health Plan EPO $168.03
Rate for Payer: Superior Health Plan Medicare $168.03
Rate for Payer: Universal American Dual Medicare/Medicaid $168.03
Rate for Payer: Universal American Medicare $168.03
Rate for Payer: Wellcare Medicare $168.03
Rate for Payer: Wellmed Medicare $168.03
Service Code CPT 74210 FY
Hospital Charge Code 4904210
Hospital Revenue Code 320
Rate for Payer: Cash Price $748.88
Service Code CPT 74210 FY
Hospital Charge Code 4904210
Hospital Revenue Code 320
Min. Negotiated Rate $3.01
Max. Negotiated Rate $553.15
Rate for Payer: Aetna Commercial $82.27
Rate for Payer: Aetna Medicare $252.04
Rate for Payer: Amerigroup CHIP/Medicaid $97.56
Rate for Payer: Amerigroup Dual Medicare/Medicaid $168.03
Rate for Payer: Amerigroup Medicare $168.03
Rate for Payer: BCBS of TX Blue Advantage $300.66
Rate for Payer: BCBS of TX Blue Essentials $360.80
Rate for Payer: BCBS of TX Medicare $168.03
Rate for Payer: BCBS of TX PPO $402.71
Rate for Payer: Cash Price $748.88
Rate for Payer: Cash Price $748.88
Rate for Payer: Cash Price $748.88
Rate for Payer: Cigna Commercial $380.65
Rate for Payer: Cigna Medicaid $97.56
Rate for Payer: Cigna Medicare $168.03
Rate for Payer: Employer Direct Commercial $168.03
Rate for Payer: Humana Medicare/TRICARE $168.03
Rate for Payer: Molina CHIP/Medicaid $97.56
Rate for Payer: Molina Dual Medicare/Medicaid $168.03
Rate for Payer: Molina Medicare $168.03
Rate for Payer: Multiplan Auto $553.15
Rate for Payer: Multiplan Commercial $553.15
Rate for Payer: Multiplan Workers Comp $553.15
Rate for Payer: Parkland Medicaid $97.56
Rate for Payer: Scott and White EPO/PPO $3.01
Rate for Payer: Scott and White Medicare $168.03
Rate for Payer: Superior Health Plan CHIP/Medicaid $97.56
Rate for Payer: Superior Health Plan EPO $168.03
Rate for Payer: Superior Health Plan Medicare $168.03
Rate for Payer: Universal American Dual Medicare/Medicaid $168.03
Rate for Payer: Universal American Medicare $168.03
Rate for Payer: Wellcare Medicare $168.03
Rate for Payer: Wellmed Medicare $168.03
Service Code CPT 51705 FY
Hospital Charge Code 4901705
Hospital Revenue Code 360
Min. Negotiated Rate $4.99
Max. Negotiated Rate $10,000.00
Rate for Payer: Aetna Commercial $1,334.30
Rate for Payer: Aetna Medicare $339.04
Rate for Payer: Amerigroup CHIP/Medicaid $51.77
Rate for Payer: Amerigroup Dual Medicare/Medicaid $226.03
Rate for Payer: Amerigroup Medicare $226.03
Rate for Payer: BCBS of TX Blue Advantage $102.45
Rate for Payer: BCBS of TX Blue Essentials $122.70
Rate for Payer: BCBS of TX Medicare $226.03
Rate for Payer: BCBS of TX PPO $154.60
Rate for Payer: Cash Price $2,134.88
Rate for Payer: Cash Price $2,134.88
Rate for Payer: Cash Price $2,134.88
Rate for Payer: Cigna Commercial $512.01
Rate for Payer: Cigna Medicaid $51.77
Rate for Payer: Cigna Medicare $226.03
Rate for Payer: Employer Direct Commercial $226.03
Rate for Payer: Humana Medicare/TRICARE $226.03
Rate for Payer: Molina CHIP/Medicaid $51.77
Rate for Payer: Molina Dual Medicare/Medicaid $226.03
Rate for Payer: Molina Medicare $226.03
Rate for Payer: Multiplan Auto $10,000.00
Rate for Payer: Multiplan Commercial $10,000.00
Rate for Payer: Multiplan Workers Comp $10,000.00
Rate for Payer: Parkland Medicaid $51.77
Rate for Payer: Scott and White EPO/PPO $4.99
Rate for Payer: Scott and White Medicare $226.03
Rate for Payer: Superior Health Plan CHIP/Medicaid $51.77
Rate for Payer: Superior Health Plan EPO $226.03
Rate for Payer: Superior Health Plan Medicare $226.03
Rate for Payer: Universal American Dual Medicare/Medicaid $226.03
Rate for Payer: Universal American Medicare $226.03
Rate for Payer: Wellcare Medicare $226.03
Rate for Payer: Wellmed Medicare $226.03
Service Code CPT 51705 FY
Hospital Charge Code 4901705
Hospital Revenue Code 360
Min. Negotiated Rate $4.99
Max. Negotiated Rate $10,000.00
Rate for Payer: Aetna Commercial $1,334.30
Rate for Payer: Aetna Medicare $339.04
Rate for Payer: Amerigroup CHIP/Medicaid $51.77
Rate for Payer: Amerigroup Dual Medicare/Medicaid $226.03
Rate for Payer: Amerigroup Medicare $226.03
Rate for Payer: BCBS of TX Blue Advantage $102.45
Rate for Payer: BCBS of TX Blue Essentials $122.70
Rate for Payer: BCBS of TX Medicare $226.03
Rate for Payer: BCBS of TX PPO $154.60
Rate for Payer: Cash Price $2,134.88
Rate for Payer: Cash Price $2,134.88
Rate for Payer: Cash Price $2,134.88
Rate for Payer: Cigna Commercial $512.01
Rate for Payer: Cigna Medicaid $51.77
Rate for Payer: Cigna Medicare $226.03
Rate for Payer: Employer Direct Commercial $226.03
Rate for Payer: Humana Medicare/TRICARE $226.03
Rate for Payer: Molina CHIP/Medicaid $51.77
Rate for Payer: Molina Dual Medicare/Medicaid $226.03
Rate for Payer: Molina Medicare $226.03
Rate for Payer: Multiplan Auto $10,000.00
Rate for Payer: Multiplan Commercial $10,000.00
Rate for Payer: Multiplan Workers Comp $10,000.00
Rate for Payer: Parkland Medicaid $51.77
Rate for Payer: Scott and White EPO/PPO $4.99
Rate for Payer: Scott and White Medicare $226.03
Rate for Payer: Superior Health Plan CHIP/Medicaid $51.77
Rate for Payer: Superior Health Plan EPO $226.03
Rate for Payer: Superior Health Plan Medicare $226.03
Rate for Payer: Universal American Dual Medicare/Medicaid $226.03
Rate for Payer: Universal American Medicare $226.03
Rate for Payer: Wellcare Medicare $226.03
Rate for Payer: Wellmed Medicare $226.03
Service Code CPT 51705 FY
Hospital Charge Code 4901705
Hospital Revenue Code 360
Rate for Payer: Cash Price $2,134.88
Service Code CPT 71045 FY
Hospital Charge Code 3181546
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $431.60
Rate for Payer: Aetna Commercial $19.46
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $26.06
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $584.32
Rate for Payer: Cash Price $584.32
Rate for Payer: Cash Price $584.32
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $20.85
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $20.85
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $431.60
Rate for Payer: Multiplan Commercial $431.60
Rate for Payer: Multiplan Workers Comp $431.60
Rate for Payer: Parkland Medicaid $20.85
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $20.85
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 71045 FY
Hospital Charge Code 3181546
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $431.60
Rate for Payer: Aetna Commercial $19.46
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $26.06
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $584.32
Rate for Payer: Cash Price $584.32
Rate for Payer: Cash Price $584.32
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $20.85
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $20.85
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $431.60
Rate for Payer: Multiplan Commercial $431.60
Rate for Payer: Multiplan Workers Comp $431.60
Rate for Payer: Parkland Medicaid $20.85
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $20.85
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 71046 FY
Hospital Charge Code 3181550
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $451.75
Rate for Payer: Aetna Commercial $26.41
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $33.75
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $611.60
Rate for Payer: Cash Price $611.60
Rate for Payer: Cash Price $611.60
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $27.00
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $27.00
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $451.75
Rate for Payer: Multiplan Commercial $451.75
Rate for Payer: Multiplan Workers Comp $451.75
Rate for Payer: Parkland Medicaid $27.00
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $27.00
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 71046 FY
Hospital Charge Code 3181550
Hospital Revenue Code 320
Rate for Payer: Cash Price $611.60
Service Code CPT 71046 FY
Hospital Charge Code 3181550
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $451.75
Rate for Payer: Aetna Commercial $26.41
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $33.75
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $611.60
Rate for Payer: Cash Price $611.60
Rate for Payer: Cash Price $611.60
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $27.00
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $27.00
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $451.75
Rate for Payer: Multiplan Commercial $451.75
Rate for Payer: Multiplan Workers Comp $451.75
Rate for Payer: Parkland Medicaid $27.00
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $27.00
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 71047 FY
Hospital Charge Code 3181552
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $466.70
Rate for Payer: Aetna Commercial $33.72
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $42.44
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $631.84
Rate for Payer: Cash Price $631.84
Rate for Payer: Cash Price $631.84
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $42.44
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $42.44
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $466.70
Rate for Payer: Multiplan Commercial $466.70
Rate for Payer: Multiplan Workers Comp $466.70
Rate for Payer: Parkland Medicaid $42.44
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $42.44
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10
Service Code CPT 71047 FY
Hospital Charge Code 3181552
Hospital Revenue Code 320
Min. Negotiated Rate $1.49
Max. Negotiated Rate $466.70
Rate for Payer: Aetna Commercial $33.72
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $42.44
Rate for Payer: Amerigroup Dual Medicare/Medicaid $83.10
Rate for Payer: Amerigroup Medicare $83.10
Rate for Payer: BCBS of TX Blue Advantage $131.69
Rate for Payer: BCBS of TX Blue Essentials $158.02
Rate for Payer: BCBS of TX Medicare $83.10
Rate for Payer: BCBS of TX PPO $176.38
Rate for Payer: Cash Price $631.84
Rate for Payer: Cash Price $631.84
Rate for Payer: Cash Price $631.84
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $42.44
Rate for Payer: Cigna Medicare $83.10
Rate for Payer: Employer Direct Commercial $83.10
Rate for Payer: Humana Medicare/TRICARE $83.10
Rate for Payer: Molina CHIP/Medicaid $42.44
Rate for Payer: Molina Dual Medicare/Medicaid $83.10
Rate for Payer: Molina Medicare $83.10
Rate for Payer: Multiplan Auto $466.70
Rate for Payer: Multiplan Commercial $466.70
Rate for Payer: Multiplan Workers Comp $466.70
Rate for Payer: Parkland Medicaid $42.44
Rate for Payer: Scott and White EPO/PPO $1.49
Rate for Payer: Scott and White Medicare $83.10
Rate for Payer: Superior Health Plan CHIP/Medicaid $42.44
Rate for Payer: Superior Health Plan EPO $83.10
Rate for Payer: Superior Health Plan Medicare $83.10
Rate for Payer: Universal American Dual Medicare/Medicaid $83.10
Rate for Payer: Universal American Medicare $83.10
Rate for Payer: Wellcare Medicare $83.10
Rate for Payer: Wellmed Medicare $83.10