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
ONC CLRCT SCR 3 PRTN ALG
Austin, TX
See all hospitals reporting CPT 0163U →Price type
Ascension Seton’s median price of $2.0k is 388% above the median hospital's median price ($402), higher than 96% of the 1,096 hospitals reporting CPT 0163U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 5 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 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $967 | $967 | — | — | — | $967 – $967 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Jan 1, 2026
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