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
LIVER ELASTOGRAPHY
Austin, TX
See all hospitals reporting CPT 91200 →Price type
Ascension Seton’s median price of $37 is 76% below the median hospital's median price ($156), higher than 15% of the 1,553 hospitals reporting CPT 91200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 42 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 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Blue Cross Blue Shield 4175_blue cross chip (sw) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Blue Cross Blue Shield 4175_blue cross chip/star kids (sw) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 6 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 7 | Blue Cross Blue Shield 4226_chirp blue cross star (sw) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 8 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Blue Cross Blue Shield 5017_blue cross star kids (sw) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 10 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 11 | UnitedHealthcare 4260_chirp uhc star (sw) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 12 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 13 | UnitedHealthcare 4271_chirp uhc star plus (sw) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 14 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 15 | UnitedHealthcare 4318_uhc star kids (sw) outpatient 20241201 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 16 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 17 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 18 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 19 | Superior Healthplan 4248_chirp superior star (sw) outpatient 20241201 fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 20 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 21 | Superior Healthplan 4403_chirp superior star plus (sw) outpatient 20241201 fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 22 | Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 23 | Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 24 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 25 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $152 | $152 | — | — | — | $152 – $152 |
Last updated: Jan 1, 2026
See Liver stiffness test using vibration pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.