M/PHMTRC ALYS SKELETAL MUSC at Ascension Seton

Austin, TX

Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $166 is 9% below the median hospital's median price ($182), higher than 33% of the 1,486 hospitals reporting CPT 88355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 88355 at Ascension Seton

Negotiated rates from the hospital’s own file: 9 payers, 29 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	$99	$99	—	—	—	$99 – $99
2	Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both	$104	$104	—	—	—	$104 – $104
3	Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
4	Humana 2668_humana hmo 20230701 other · outpatient	$107	$107	—	—	—	$107 – $107
5	Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
6	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$160	$160	—	—	—	$160 – $160
7	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$160	$160	—	—	—	$160 – $160
8	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
9	Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient	$166	$166	—	—	—	$166 – $166
10	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
11	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$166	$166	—	—	—	$166 – $166
12	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
13	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$166	$166	—	—	—	$166 – $166
14	Tricare 4696_tricare inpatient 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
15	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$166	$166	—	—	—	$166 – $166
16	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$166	$166	—	—	—	$166 – $166
17	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$169	$169	—	—	—	$169 – $169
18	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$169	$169	—	—	—	$169 – $169
19	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$273	$273	—	—	—	$273 – $273
20	Aetna 4335_aetna sha aisd 20250101 other · outpatient	$283	$283	—	—	—	$283 – $283
21	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$299	$299	—	—	—	$299 – $299
22	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$299	$299	—	—	—	$299 – $299
23	Aetna 4486_aetna hmo 20250801 other · outpatient	$353	$353	—	—	—	$353 – $353
24	Aetna 235_aetna pos 20140601 fee schedule · outpatient	$506	$506	—	—	—	$506 – $506
25	Aetna 236_aetna elect choice 20140601 fee schedule · outpatient	$506	$506	—	—	—	$506 – $506

Page 1 of 2 · 29 rates

Last updated: Jan 1, 2026

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See M/PHMTRC ALYS SKELETAL MUSC pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.