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 MM LC-MS/MS PEP ION QUAN
Austin, TX
See all hospitals reporting CPT 0451U →Price type
Ascension Seton’s median price of $43 is 4% below the median hospital's median price ($45), higher than 8% of the 759 hospitals reporting CPT 0451U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 17 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 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $43 | $43 | — | — | — | $43 – $43 |
| 8 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 9 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $44 | $44 | — | — | — | $44 – $44 |
| 10 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 11 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 12 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $78 | $78 | — | — | — | $78 – $78 |
| 13 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 14 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 15 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 16 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 17 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
Last updated: Jan 1, 2026
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