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
PRGRMD STIMJ&PACG IV RX NFS
Austin, TX
See all hospitals reporting CPT 93623 →Price type
Ascension Seton’s median price of $9.2k is 220% above the median hospital's median price ($2.9k), higher than 85% of the 1,770 hospitals reporting CPT 93623. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 15 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 | $284 | $284 | — | — | — | $284 – $284 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $565 | $565 | — | — | — | $565 – $565 |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $565 | $565 | — | — | — | $565 – $565 |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 5 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $689 | $689 | — | — | — | $689 – $689 |
| 6 | UnitedHealthcare 4498_united healthcare (aus,nw,sw, bas) 20250701 other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Oscar 4511_oscar health plan 20251001 case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 9 | Aetna 1377_aetna hmo exchange 20200101 case rate · outpatient | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 10 | Aetna 235_aetna pos 20140601 case rate · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 11 | Aetna 236_aetna elect choice 20140601 case rate · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 12 | Aetna 4335_aetna sha aisd 20250101 case rate · outpatient | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
| 13 | Aetna 4489_aetna aco hmo 20250801 case rate · outpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 14 | Aetna 4490_aetna multi-tier whole health sha 20250801 case rate · outpatient | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 15 | Aetna 4486_aetna hmo 20250801 case rate · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
Last updated: Jan 1, 2026
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