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
PLACE RT DEVICE/MARKER PROS
Austin, TX
See all hospitals reporting CPT 55876 →Price type
Ascension Seton’s median price of $71 is 96% below the median hospital's median price ($1.6k), higher than 1% of the 1,858 hospitals reporting CPT 55876. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 22 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 | $58 | $58 | — | — | — | $58 – $58 |
| 2 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 3 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 4 | Blue Cross Blue Shield 4169_blue cross chip (del) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 5 | Blue Cross Blue Shield 4169_blue cross chip/star kids (del) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 6 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Blue Cross Blue Shield 4220_chirp blue cross star (del) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 8 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 9 | Blue Cross Blue Shield 5005_blue cross star kids (del) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 10 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 11 | UnitedHealthcare 4254_chirp uhc star (del) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 12 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 13 | UnitedHealthcare 4265_chirp uhc star plus (del) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 14 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 15 | UnitedHealthcare 4312_uhc star kids (del) outpatient 20241201 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 16 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 17 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 18 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 19 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 20 | Humana 206_humana hmo custom 20140201 other · outpatient | $969 | $969 | — | — | — | $969 – $969 |
| 21 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $992 | $992 | — | — | — | $992 – $992 |
| 22 | Oscar 4511_oscar health plan 20251001 other · both | $1k | $1k | — | — | — | $1k – $1k |
Last updated: Jan 1, 2026
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