The 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.
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4 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Knox County Hospital District Knox City, TX fee schedule · outpatient | 1 | $18.00 | $18.00 – $18.00 |
| 2 | McCamey County Hospital District McCamey, TX fee schedule · outpatient | 2 | $246.83 | $1.00 – $848.00 |
| 3 | Muleshoe Area Medical Center dba Muleshoe Area Medical Center Muleshoe, TX fee schedule · outpatient | 2 | $36.80 | $15.00 – $101.00 |
| 4 | Muleshoe Area Medical Center dba Muleshoe Area Medical Center Muleshoe, TX percent of total billed charges · outpatientfrom % of charges | 1 | $62.40 | $25.00 – $172.00 |
← Payers reporting CPT 40973 · Snapshot 20261108T203506Z-bb90dbab