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Service Code CPT 72265 FY
Hospital Charge Code 3180010
Hospital Revenue Code 320
Min. Negotiated Rate $81.11
Max. Negotiated Rate $1,658.78
Rate for Payer: Aetna Commercial $81.11
Rate for Payer: Aetna Medicare $1,098.39
Rate for Payer: Amerigroup CHIP/Medicaid $109.93
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 $1,948.32
Rate for Payer: Cash Price $1,948.32
Rate for Payer: Cash Price $1,948.32
Rate for Payer: Cigna Commercial $1,658.78
Rate for Payer: Cigna Medicaid $109.93
Rate for Payer: Molina CHIP/Medicaid $109.93
Rate for Payer: Multiplan Auto $1,439.10
Rate for Payer: Multiplan Commercial $1,439.10
Rate for Payer: Multiplan Workers Comp $1,439.10
Rate for Payer: Parkland Medicaid $109.93
Rate for Payer: Scott and White EPO/PPO $1,107.00
Rate for Payer: Superior Health Plan CHIP/Medicaid $109.93
Rate for Payer: Superior Health Plan EPO $301.10
Service Code CPT 72265 FY
Hospital Charge Code 3180010
Hospital Revenue Code 320
Rate for Payer: Cash Price $1,948.32
Service Code CPT 62305 FY
Hospital Charge Code 3181103
Hospital Revenue Code 361
Min. Negotiated Rate $284.31
Max. Negotiated Rate $10,000.00
Rate for Payer: Aetna Commercial $1,400.00
Rate for Payer: Aetna Medicare $1,098.39
Rate for Payer: Amerigroup CHIP/Medicaid $284.31
Rate for Payer: BCBS of TX Blue Advantage $1,136.97
Rate for Payer: BCBS of TX Blue Essentials $1,361.64
Rate for Payer: BCBS of TX PPO $1,715.67
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cigna Commercial $1,658.78
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: Scott and White EPO/PPO $1,579.50
Rate for Payer: Superior Health Plan EPO $429.62
Service Code CPT 72255 FY
Hospital Charge Code 2100220
Hospital Revenue Code 320
Min. Negotiated Rate $84.58
Max. Negotiated Rate $1,658.78
Rate for Payer: Aetna Commercial $84.58
Rate for Payer: Aetna Medicare $1,098.39
Rate for Payer: Amerigroup CHIP/Medicaid $120.63
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 $2,031.92
Rate for Payer: Cash Price $2,031.92
Rate for Payer: Cash Price $2,031.92
Rate for Payer: Cigna Commercial $1,658.78
Rate for Payer: Cigna Medicaid $120.63
Rate for Payer: Molina CHIP/Medicaid $120.63
Rate for Payer: Multiplan Auto $1,500.85
Rate for Payer: Multiplan Commercial $1,500.85
Rate for Payer: Multiplan Workers Comp $1,500.85
Rate for Payer: Parkland Medicaid $120.63
Rate for Payer: Scott and White EPO/PPO $1,154.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $120.63
Rate for Payer: Superior Health Plan EPO $314.02
Service Code CPT 72255 FY
Hospital Charge Code 2100220
Hospital Revenue Code 320
Rate for Payer: Cash Price $2,031.92
Service Code CPT 72255 FY
Hospital Charge Code 2100220
Hospital Revenue Code 320
Min. Negotiated Rate $84.58
Max. Negotiated Rate $1,658.78
Rate for Payer: Aetna Commercial $84.58
Rate for Payer: Aetna Medicare $1,098.39
Rate for Payer: Amerigroup CHIP/Medicaid $120.63
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 $2,031.92
Rate for Payer: Cash Price $2,031.92
Rate for Payer: Cash Price $2,031.92
Rate for Payer: Cigna Commercial $1,658.78
Rate for Payer: Cigna Medicaid $120.63
Rate for Payer: Molina CHIP/Medicaid $120.63
Rate for Payer: Multiplan Auto $1,500.85
Rate for Payer: Multiplan Commercial $1,500.85
Rate for Payer: Multiplan Workers Comp $1,500.85
Rate for Payer: Parkland Medicaid $120.63
Rate for Payer: Scott and White EPO/PPO $1,154.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $120.63
Rate for Payer: Superior Health Plan EPO $314.02
Service Code CPT 62303 FY
Hospital Charge Code 4902302
Hospital Revenue Code 361
Min. Negotiated Rate $284.31
Max. Negotiated Rate $10,000.00
Rate for Payer: Aetna Commercial $1,400.00
Rate for Payer: Aetna Medicare $1,098.39
Rate for Payer: Amerigroup CHIP/Medicaid $284.31
Rate for Payer: BCBS of TX Blue Advantage $1,136.97
Rate for Payer: BCBS of TX Blue Essentials $1,361.64
Rate for Payer: BCBS of TX PPO $1,715.67
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cigna Commercial $1,658.78
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: Scott and White EPO/PPO $1,579.50
Rate for Payer: Superior Health Plan EPO $429.62
Service Code CPT 62303 FY
Hospital Charge Code 4902302
Hospital Revenue Code 361
Min. Negotiated Rate $284.31
Max. Negotiated Rate $10,000.00
Rate for Payer: Aetna Commercial $1,400.00
Rate for Payer: Aetna Medicare $1,098.39
Rate for Payer: Amerigroup CHIP/Medicaid $284.31
Rate for Payer: BCBS of TX Blue Advantage $1,136.97
Rate for Payer: BCBS of TX Blue Essentials $1,361.64
Rate for Payer: BCBS of TX PPO $1,715.67
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cash Price $2,779.92
Rate for Payer: Cigna Commercial $1,658.78
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: Scott and White EPO/PPO $1,579.50
Rate for Payer: Superior Health Plan EPO $429.62
Service Code CPT 62303 FY
Hospital Charge Code 4902302
Hospital Revenue Code 361
Rate for Payer: Cash Price $2,779.92
Service Code CPT 72270 FY
Hospital Charge Code 3180011
Hospital Revenue Code 320
Min. Negotiated Rate $116.94
Max. Negotiated Rate $2,073.50
Rate for Payer: Aetna Commercial $116.94
Rate for Payer: Aetna Medicare $1,098.39
Rate for Payer: Amerigroup CHIP/Medicaid $165.06
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 $2,807.20
Rate for Payer: Cash Price $2,807.20
Rate for Payer: Cash Price $2,807.20
Rate for Payer: Cigna Commercial $1,658.78
Rate for Payer: Cigna Medicaid $165.06
Rate for Payer: Molina CHIP/Medicaid $165.06
Rate for Payer: Multiplan Auto $2,073.50
Rate for Payer: Multiplan Commercial $2,073.50
Rate for Payer: Multiplan Workers Comp $2,073.50
Rate for Payer: Parkland Medicaid $165.06
Rate for Payer: Scott and White EPO/PPO $1,595.00
Rate for Payer: Superior Health Plan CHIP/Medicaid $165.06
Rate for Payer: Superior Health Plan EPO $433.84
Service Code CPT 72270 FY
Hospital Charge Code 3180011
Hospital Revenue Code 320
Min. Negotiated Rate $116.94
Max. Negotiated Rate $2,073.50
Rate for Payer: Aetna Commercial $116.94
Rate for Payer: Aetna Medicare $1,098.39
Rate for Payer: Amerigroup CHIP/Medicaid $165.06
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 $2,807.20
Rate for Payer: Cash Price $2,807.20
Rate for Payer: Cash Price $2,807.20
Rate for Payer: Cigna Commercial $1,658.78
Rate for Payer: Cigna Medicaid $165.06
Rate for Payer: Molina CHIP/Medicaid $165.06
Rate for Payer: Multiplan Auto $2,073.50
Rate for Payer: Multiplan Commercial $2,073.50
Rate for Payer: Multiplan Workers Comp $2,073.50
Rate for Payer: Parkland Medicaid $165.06
Rate for Payer: Scott and White EPO/PPO $1,595.00
Rate for Payer: Superior Health Plan CHIP/Medicaid $165.06
Rate for Payer: Superior Health Plan EPO $433.84
Service Code CPT 72270 FY
Hospital Charge Code 3180011
Hospital Revenue Code 320
Rate for Payer: Cash Price $2,807.20
Service Code CPT 70160 FY
Hospital Charge Code 3100153
Hospital Revenue Code 320
Min. Negotiated Rate $34.11
Max. Negotiated Rate $251.55
Rate for Payer: Aetna Commercial $34.11
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $38.43
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 PPO $176.38
Rate for Payer: Cash Price $340.56
Rate for Payer: Cash Price $340.56
Rate for Payer: Cash Price $340.56
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $38.43
Rate for Payer: Molina CHIP/Medicaid $38.43
Rate for Payer: Multiplan Auto $251.55
Rate for Payer: Multiplan Commercial $251.55
Rate for Payer: Multiplan Workers Comp $251.55
Rate for Payer: Parkland Medicaid $38.43
Rate for Payer: Scott and White EPO/PPO $193.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $38.43
Rate for Payer: Superior Health Plan EPO $52.63
Service Code CPT 70160 FY
Hospital Charge Code 3100153
Hospital Revenue Code 320
Min. Negotiated Rate $34.11
Max. Negotiated Rate $251.55
Rate for Payer: Aetna Commercial $34.11
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $38.43
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 PPO $176.38
Rate for Payer: Cash Price $340.56
Rate for Payer: Cash Price $340.56
Rate for Payer: Cash Price $340.56
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $38.43
Rate for Payer: Molina CHIP/Medicaid $38.43
Rate for Payer: Multiplan Auto $251.55
Rate for Payer: Multiplan Commercial $251.55
Rate for Payer: Multiplan Workers Comp $251.55
Rate for Payer: Parkland Medicaid $38.43
Rate for Payer: Scott and White EPO/PPO $193.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $38.43
Rate for Payer: Superior Health Plan EPO $52.63
Service Code CPT 70160 FY
Hospital Charge Code 3100153
Hospital Revenue Code 320
Rate for Payer: Cash Price $340.56
Service Code CPT 70360 FY
Hospital Charge Code 3100245
Hospital Revenue Code 320
Min. Negotiated Rate $26.02
Max. Negotiated Rate $433.55
Rate for Payer: Aetna Commercial $26.02
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $31.74
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 PPO $176.38
Rate for Payer: Cash Price $586.96
Rate for Payer: Cash Price $586.96
Rate for Payer: Cash Price $586.96
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $31.74
Rate for Payer: Molina CHIP/Medicaid $31.74
Rate for Payer: Multiplan Auto $433.55
Rate for Payer: Multiplan Commercial $433.55
Rate for Payer: Multiplan Workers Comp $433.55
Rate for Payer: Parkland Medicaid $31.74
Rate for Payer: Scott and White EPO/PPO $333.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $31.74
Rate for Payer: Superior Health Plan EPO $90.71
Service Code CPT 70360 FY
Hospital Charge Code 3100245
Hospital Revenue Code 320
Min. Negotiated Rate $26.02
Max. Negotiated Rate $433.55
Rate for Payer: Aetna Commercial $26.02
Rate for Payer: Aetna Medicare $124.65
Rate for Payer: Amerigroup CHIP/Medicaid $31.74
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 PPO $176.38
Rate for Payer: Cash Price $586.96
Rate for Payer: Cash Price $586.96
Rate for Payer: Cash Price $586.96
Rate for Payer: Cigna Commercial $188.25
Rate for Payer: Cigna Medicaid $31.74
Rate for Payer: Molina CHIP/Medicaid $31.74
Rate for Payer: Multiplan Auto $433.55
Rate for Payer: Multiplan Commercial $433.55
Rate for Payer: Multiplan Workers Comp $433.55
Rate for Payer: Parkland Medicaid $31.74
Rate for Payer: Scott and White EPO/PPO $333.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $31.74
Rate for Payer: Superior Health Plan EPO $90.71
Service Code CPT 70360 FY
Hospital Charge Code 3100245
Hospital Revenue Code 320
Rate for Payer: Cash Price $586.96
Service Code CPT 70200 FY
Hospital Charge Code 3150067
Hospital Revenue Code 320
Min. Negotiated Rate $40.27
Max. Negotiated Rate $247.70
Rate for Payer: Aetna Commercial $40.27
Rate for Payer: Aetna Medicare $150.82
Rate for Payer: Amerigroup CHIP/Medicaid $48.11
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 PPO $247.70
Rate for Payer: Cash Price $307.12
Rate for Payer: Cash Price $307.12
Rate for Payer: Cash Price $307.12
Rate for Payer: Cigna Commercial $227.77
Rate for Payer: Cigna Medicaid $48.11
Rate for Payer: Molina CHIP/Medicaid $48.11
Rate for Payer: Multiplan Auto $226.85
Rate for Payer: Multiplan Commercial $226.85
Rate for Payer: Multiplan Workers Comp $226.85
Rate for Payer: Parkland Medicaid $48.11
Rate for Payer: Scott and White EPO/PPO $174.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $48.11
Rate for Payer: Superior Health Plan EPO $47.46
Service Code CPT 70200 FY
Hospital Charge Code 3150067
Hospital Revenue Code 320
Rate for Payer: Cash Price $307.12
Service Code CPT 70200 FY
Hospital Charge Code 3150067
Hospital Revenue Code 320
Min. Negotiated Rate $40.27
Max. Negotiated Rate $247.70
Rate for Payer: Aetna Commercial $40.27
Rate for Payer: Aetna Medicare $150.82
Rate for Payer: Amerigroup CHIP/Medicaid $48.11
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 PPO $247.70
Rate for Payer: Cash Price $307.12
Rate for Payer: Cash Price $307.12
Rate for Payer: Cash Price $307.12
Rate for Payer: Cigna Commercial $227.77
Rate for Payer: Cigna Medicaid $48.11
Rate for Payer: Molina CHIP/Medicaid $48.11
Rate for Payer: Multiplan Auto $226.85
Rate for Payer: Multiplan Commercial $226.85
Rate for Payer: Multiplan Workers Comp $226.85
Rate for Payer: Parkland Medicaid $48.11
Rate for Payer: Scott and White EPO/PPO $174.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $48.11
Rate for Payer: Superior Health Plan EPO $47.46
Service Code CPT 77075 FY
Hospital Charge Code 3120078
Hospital Revenue Code 320
Min. Negotiated Rate $64.60
Max. Negotiated Rate $308.75
Rate for Payer: Aetna Commercial $84.19
Rate for Payer: Aetna Medicare $150.82
Rate for Payer: Amerigroup CHIP/Medicaid $100.24
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 PPO $247.70
Rate for Payer: Cash Price $418.00
Rate for Payer: Cash Price $418.00
Rate for Payer: Cash Price $418.00
Rate for Payer: Cigna Commercial $227.77
Rate for Payer: Cigna Medicaid $100.24
Rate for Payer: Molina CHIP/Medicaid $100.24
Rate for Payer: Multiplan Auto $308.75
Rate for Payer: Multiplan Commercial $308.75
Rate for Payer: Multiplan Workers Comp $308.75
Rate for Payer: Parkland Medicaid $100.24
Rate for Payer: Scott and White EPO/PPO $237.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $100.24
Rate for Payer: Superior Health Plan EPO $64.60
Service Code CPT 77075 FY
Hospital Charge Code 3120078
Hospital Revenue Code 320
Min. Negotiated Rate $64.60
Max. Negotiated Rate $308.75
Rate for Payer: Aetna Commercial $84.19
Rate for Payer: Aetna Medicare $150.82
Rate for Payer: Amerigroup CHIP/Medicaid $100.24
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 PPO $247.70
Rate for Payer: Cash Price $418.00
Rate for Payer: Cash Price $418.00
Rate for Payer: Cash Price $418.00
Rate for Payer: Cigna Commercial $227.77
Rate for Payer: Cigna Medicaid $100.24
Rate for Payer: Molina CHIP/Medicaid $100.24
Rate for Payer: Multiplan Auto $308.75
Rate for Payer: Multiplan Commercial $308.75
Rate for Payer: Multiplan Workers Comp $308.75
Rate for Payer: Parkland Medicaid $100.24
Rate for Payer: Scott and White EPO/PPO $237.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $100.24
Rate for Payer: Superior Health Plan EPO $64.60
Service Code CPT 77075 FY
Hospital Charge Code 3120078
Hospital Revenue Code 320
Rate for Payer: Cash Price $418.00
Service Code CPT 77076 FY
Hospital Charge Code 3120086
Hospital Revenue Code 320
Min. Negotiated Rate $67.86
Max. Negotiated Rate $324.35
Rate for Payer: Aetna Commercial $84.96
Rate for Payer: Aetna Medicare $150.82
Rate for Payer: Amerigroup CHIP/Medicaid $106.88
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 PPO $247.70
Rate for Payer: Cash Price $439.12
Rate for Payer: Cash Price $439.12
Rate for Payer: Cash Price $439.12
Rate for Payer: Cigna Commercial $227.77
Rate for Payer: Cigna Medicaid $106.88
Rate for Payer: Molina CHIP/Medicaid $106.88
Rate for Payer: Multiplan Auto $324.35
Rate for Payer: Multiplan Commercial $324.35
Rate for Payer: Multiplan Workers Comp $324.35
Rate for Payer: Parkland Medicaid $106.88
Rate for Payer: Scott and White EPO/PPO $249.50
Rate for Payer: Superior Health Plan CHIP/Medicaid $106.88
Rate for Payer: Superior Health Plan EPO $67.86