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
HB ED Visit Level 5
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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126 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 1 | $957.19 | $957.19 – $957.19 |
| 2 | Ascension Cedar Park Park, TX case rate · both | 2 | $200.00 | $200.00 – $200.00 |
| 3 | Ascension Cedar Park Park, TX case rate · outpatient | 2 | $200.00 | $200.00 – $200.00 |
| 4 | Ascension Providence Waco, TX fee schedule · both | 2 | $296.29 | $234.75 – $333.22 |
| 5 | Ascension Providence Waco, TX fee schedule · outpatient | 2 | $283.99 | $234.75 – $333.22 |
| 6 | Ascension Seton Austin, TX case rate · both | 4 | $200.00 | $200.00 – $200.00 |
| 7 | Ascension Seton Austin, TX case rate · outpatient | 4 | $200.00 | $200.00 – $200.00 |
| 8 | Ascension Seton Austin, TX case rate · both | 4 | $200.00 | $200.00 – $200.00 |
| 9 | Ascension Seton Austin, TX case rate · outpatient | 4 | $200.00 | $200.00 – $200.00 |
| 10 | Ascension Seton Austin, TX case rate · both | 4 | $200.00 | $200.00 – $200.00 |
| 11 | Ascension Seton Austin, TX case rate · outpatient | 4 | $200.00 | $200.00 – $200.00 |
| 12 | Ascension Seton Luling, TX case rate · both | 6 | $500.00 | $200.00 – $1,400 |
| 13 | Ascension Seton Luling, TX case rate · outpatient | 2 | $200.00 | $200.00 – $200.00 |
| 14 | Ascension Seton Burnet, TX case rate · both | 6 | $500.00 | $200.00 – $1,400 |
| 15 | Ascension Seton Burnet, TX case rate · outpatient | 2 | $200.00 | $200.00 – $200.00 |
| 16 | Ascension Seton Smithville, TX case rate · both | 4 | $200.00 | $200.00 – $200.00 |
| 17 | Ascension Seton Smithville, TX case rate · outpatient | 4 | $200.00 | $200.00 – $200.00 |
| 18 | Ascension Seton Bastrop, TX case rate · both | 4 | $200.00 | $200.00 – $200.00 |
| 19 | Ascension Seton Bastrop, TX case rate · outpatient | 4 | $200.00 | $200.00 – $200.00 |
| 20 | Ascension Seton Austin, TX case rate · both | 4 | $200.00 | $200.00 – $200.00 |
| 21 | Ascension Seton Austin, TX case rate · outpatient | 4 | $200.00 | $200.00 – $200.00 |
| 22 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 1 | $628.15 | $628.15 – $628.15 |
| 23 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $620.75 | $620.75 – $620.75 |
| 24 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,228 | $1,228 – $1,228 |
| 25 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 1 | $628.15 | $628.15 – $628.15 |
← Payers reporting CPT 99285 · Snapshot 20261108T203506Z-bb90dbab