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
US-LW EXT DPX ART BI
Park, TX
See all hospitals reporting CPT 93925 →Price type
Ascension Cedar Park’s median price of $234 is 46% below the median hospital's median price ($429), higher than 12% of the 2,586 hospitals reporting CPT 93925. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 43 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 2 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $153 | $153 | — | — | — | $153 – $153 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 5 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 6 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 7 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 8 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $231 | $231 | — | — | — | $231 – $231 |
| 9 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $231 | $231 | — | — | — | $231 – $231 |
| 10 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $231 | $231 | — | — | — | $231 – $231 |
| 11 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $231 | $231 | — | — | — | $231 – $231 |
| 12 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 13 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 14 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 15 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 16 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 17 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $716 | $716 | — | — | — | $716 – $716 |
| 18 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $716 | $716 | — | — | — | $716 – $716 |
| 19 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $751 | $751 | — | — | — | $751 – $751 |
| 20 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $751 | $751 | — | — | — | $751 – $751 |
| 21 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $828 | $828 | — | — | — | $828 – $828 |
| 22 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $917 | $917 | — | — | — | $917 – $917 |
| 23 | Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient | $1.1k | $1.1k | $682 | 61% | — | $439 – $1.8k |
| 24 | Aetna 4489_aetna aco hmo 20250801 fee schedule · outpatient | $1.1k | $1.1k | $682 | 61% | — | $439 – $1.8k |
| 25 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 fee schedule · both | $1.6k | $1.2k | $559 | 48% | — | $381 – $1.6k |
Last updated: Jan 1, 2026
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