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
EXOME RE-EVALUATION
Park, TX
See all hospitals reporting CPT 81417 →Price type
Ascension Cedar Park’s median price of $670 is 103% above the median hospital's median price ($330), higher than 90% of the 1,359 hospitals reporting CPT 81417. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Humana 2668_humana hmo 20230701 other · outpatient | $528 | $528 | — | — | — | $528 – $528 |
| 5 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $608 | $608 | — | — | — | $608 – $608 |
| 6 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $670 | $670 | — | — | — | $670 – $670 |
| 7 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $670 | $670 | — | — | — | $670 – $670 |
| 8 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Aetna 4486_aetna hmo 20250801 other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Jan 1, 2026
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