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
ULTRAVIOLET THRP-VST
Park, TX
See all hospitals reporting CPT 97028 →Price type
Ascension Cedar Park’s median price of $28 is 200% above the median hospital's median price ($9), higher than 81% of the 1,324 hospitals reporting CPT 97028. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 5 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 10 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 11 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 12 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 13 | Aetna 4486_aetna hmo 20250801 other · outpatient | $38 | $38 | — | — | — | $38 – $38 |
Last updated: Jan 1, 2026
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