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
REFILL/MAINT PORTABLE PUMP
Austin, TX
See all hospitals reporting CPT 96521 →Price type
Ascension Seton’s median price of $209 is 24% below the median hospital's median price ($276), higher than 20% of the 1,832 hospitals reporting CPT 96521. 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, 23 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 | $167 | $167 | — | — | — | $167 – $167 |
| 2 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $204 | $204 | — | — | — | $204 – $204 |
| 3 | Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 4 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $204 | $204 | — | — | — | $204 – $204 |
| 5 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 6 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $204 | $204 | — | — | — | $204 – $204 |
| 7 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 8 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $204 | $204 | — | — | — | $204 – $204 |
| 9 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $204 | $204 | — | — | — | $204 – $204 |
| 10 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 11 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $208 | $208 | — | — | — | $208 – $208 |
| 12 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 13 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 14 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $368 | $368 | — | — | — | $368 – $368 |
| 15 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 16 | Aetna 4335_aetna sha aisd 20250101 percent of total billed charges · outpatientfrom % of charges | $409 | $404 | $7 | 2% | — | $394 – $409 |
| 17 | Aetna 4489_aetna aco hmo 20250801 percent of total billed charges · outpatientfrom % of charges | $409 | $404 | $7 | 2% | — | $394 – $409 |
| 18 | Aetna 4490_aetna multi-tier whole health sha 20250801 percent of total billed charges · outpatientfrom % of charges | $454 | $448 | $8 | 2% | — | $436 – $454 |
| 19 | Aetna 4486_aetna hmo 20250801 percent of total billed charges · outpatientfrom % of charges | $498 | $492 | $9 | 2% | — | $479 – $498 |
| 20 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $506 | $506 | — | — | — | $506 – $506 |
| 21 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $506 | $506 | — | — | — | $506 – $506 |
| 22 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 23 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $618 | $618 | — | — | — | $618 – $618 |
Last updated: Jan 1, 2026
See Refilling and maintaining a portable pump pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.