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
DIANEAL LC 1.5%DEX 6LINJ
Low
$165
Average
$341
Median
$399
High
$399
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4 hospital rates
iThe hospitals that file a Bcbs Tx 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 | Santa Rosa Hospital - Westover Hills San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 6 | $110 | $165 | $108 | 66% | — | $18 – $350 |
| 2 | Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 6 | $442 | $399 | $127 | 32% | — | $128 – $522 |
| 3 | Spohn Hospital Corpus Christi - South Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 6 | $442 | $399 | $127 | 32% | — | $128 – $522 |
| 4 | Spohn Hospital Corpus Christi - South Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 6 | $442 | $399 | $127 | 32% | — | $128 – $522 |
← Payers reporting HCPCS A4726 · Snapshot 20261112T181611Z-3fa9fb76