Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC DIGITIZATION OF GLASS MICROSCOPE SLD LEVEL IV
The hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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261 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $120.68 | $77.75 – $174.94 |
| 2 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $204.81 | $190.46 – $219.15 |
| 3 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $204.81 | $190.46 – $219.15 |
| 4 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 5 | $118.33 | $101.87 – $135.72 |
| 5 | Ascension Cedar Park Park, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 6 | Ascension Providence Waco, TX fee schedule · outpatient | 3 | $170.18 | $92.51 – $218.16 |
| 7 | Ascension Providence Waco, TX other · outpatient | 1 | $115.27 | $115.27 – $115.27 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 10 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 11 | Ascension Seton Luling, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 12 | Ascension Seton Burnet, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 13 | Ascension Seton Smithville, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 14 | Ascension Seton Bastrop, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 15 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $183.93 | $93.99 – $233.00 |
| 16 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $15.00 | $15.00 – $15.00 |
| 17 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $8.55 | $8.55 – $8.55 |
| 18 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $128.22 | $92.40 – $146.16 |
| 19 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 5 | $118.33 | $101.87 – $135.72 |
| 20 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 5 | $203.82 | $120.71 – $255.27 |
| 21 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $9.88 | $9.03 – $10.97 |
| 22 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 5 | $203.82 | $120.71 – $255.27 |
| 23 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 5 | $203.82 | $120.71 – $255.27 |
| 24 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · fee schedule · outpatient | 4 | $280.87 | $255.76 – $312.16 |
| 25 | Baylor Scott & White Medical Center - Austin Austin, TX facility · fee schedule · outpatient | 4 | $280.87 | $255.76 – $312.16 |
← Payers reporting CPT 0753T · Snapshot 20261108T055240Z-43b7dac7