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
SIMPLE RPR SUPRFCL WND SCLP/NK/AX/GN/TRK/EXT 2.5CM/LS-CAC
Low
$94
Average
$547
Median
$302
High
$1.5k
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
82 hospitals; the 90th percentile is 6.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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108 hospital rates
iThe hospitals that file a Superior Healthplan 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Piney Woods Healthcare System LP Lufkin, TX facility · other · outpatient | 2 | $991 | $991 | $165 | 17% | 49 | $826 – $1.2k |
| 2 | Longview Medical Center LP Longview, TX facility · other · outpatient | 2 | $716 | $716 | $399 | 56% | 40 | $317 – $1.1k |
| 3 | Laredo Texas Hospital Company LP Laredo, TX facility · other · outpatient | 2 | $882 | $882 | $14 | 2% | 30–39 | $868 – $896 |
| 4 | Mission Regional Medical Center Mission, TX percent of total billed charges · outpatientfrom % of charges | 2 | $128 | $128 | $24 | 19% | 29–38 | $104 – $152 |
| 5 | Pampa Regional Medical Center Pampa, TX percent of total billed charges · outpatientfrom % of charges | 1 | $200 | $200 | — | — | 14 | $200 – $200 |
| 6 | Harlingen Medical Center Harlingen, TX percent of total billed charges · outpatientfrom % of charges | 2 | $105 | $109 | $31 | 29% | 3–30 | $73 – $149 |
| 7 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $52 | $52 | — | — | 2–20 | $52 – $52 |
| 8 | Preferred Hospital Leasing Hemphill, Inc. Hemphill, TX facility · fee schedule · both | 1 | $223 | $223 | — | — | 1–10 | $223 – $223 |
| 9 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 10 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 11 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 12 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 13 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 14 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 15 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 16 | Baylor Scott & White Medical Center - Austin Austin, TX facility · fee schedule · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 17 | Baylor Scott & White Medical Center - Austin Austin, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 18 | Baylor Scott & White Medical Center - Brenham Brenham, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 19 | Baylor Scott & White Medical Center - Buda Buda, TX facility · fee schedule · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 20 | Baylor Scott & White Medical Center - Buda Buda, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 21 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 22 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 23 | Baylor Scott & White Medical Center - College Station College Station, TX facility · fee schedule · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 24 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 25 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $226 | $226 | — | — | — | $226 – $226 |
← Payers reporting CPT 12001 · Snapshot 20261111T120946Z-9134e7f7