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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115 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 1 | $168.04 | $168.04 – $168.04 |
| 2 | Ascension Cedar Park Park, TX fee schedule · both | 2 | $525.64 | $273.74 – $651.59 |
| 3 | Ascension Cedar Park Park, TX fee schedule · outpatient | 6 | $525.64 | $273.74 – $651.59 |
| 4 | Ascension Providence Waco, TX fee schedule · both | 2 | $112.51 | $112.51 – $112.51 |
| 5 | Ascension Providence Waco, TX fee schedule · outpatient | 2 | $106.88 | $106.88 – $106.88 |
| 6 | Ascension Seton Austin, TX fee schedule · both | 4 | $641.90 | $641.90 – $641.90 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 8 | $641.90 | $641.90 – $641.90 |
| 8 | Ascension Seton Austin, TX fee schedule · both | 2 | $641.90 | $641.90 – $641.90 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 8 | $641.90 | $641.90 – $641.90 |
| 10 | Ascension Seton Austin, TX fee schedule · both | 4 | $641.90 | $641.90 – $641.90 |
| 11 | Ascension Seton Austin, TX fee schedule · outpatient | 8 | $641.90 | $641.90 – $641.90 |
| 12 | Ascension Seton Luling, TX fee schedule · both | 4 | $600.73 | $521.80 – $721.80 |
| 13 | Ascension Seton Luling, TX fee schedule · outpatient | 8 | $600.73 | $521.80 – $721.80 |
| 14 | Ascension Seton Burnet, TX fee schedule · both | 4 | $604.77 | $538.80 – $721.80 |
| 15 | Ascension Seton Burnet, TX fee schedule · outpatient | 8 | $480.30 | $106.88 – $721.80 |
| 16 | Ascension Seton Smithville, TX fee schedule · both | 4 | $576.88 | $464.60 – $641.90 |
| 17 | Ascension Seton Smithville, TX fee schedule · outpatient | 8 | $576.88 | $464.60 – $641.90 |
| 18 | Ascension Seton Bastrop, TX fee schedule · both | 4 | $581.77 | $464.60 – $641.90 |
| 19 | Ascension Seton Bastrop, TX fee schedule · outpatient | 8 | $581.77 | $464.60 – $641.90 |
| 20 | Ascension Seton Austin, TX fee schedule · both | 4 | $641.90 | $641.90 – $641.90 |
| 21 | Ascension Seton Austin, TX fee schedule · outpatient | 8 | $641.90 | $641.90 – $641.90 |
| 22 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 2 | $106.90 | $106.34 – $110.27 |
| 23 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · fee schedule · outpatient | 1 | $106.34 | $106.34 – $106.34 |
| 24 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 2 | $106.90 | $106.34 – $110.27 |
| 25 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · fee schedule · outpatient | 1 | $106.34 | $106.34 – $106.34 |
← Payers reporting CPT 93971 · Snapshot 20261108T203506Z-bb90dbab