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
PROSTH RETINA RECEIVE&GEN
Burnet, TX
See all hospitals reporting CPT 0100T →Price type
Ascension Seton’s median price of $146.4k is 1200% above the median hospital's median price ($11.3k), higher than 94% of the 986 hospitals reporting CPT 0100T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 6 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 | Humana 2668_humana hmo 20230701 other · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 2 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $109.8k | $109.8k | — | — | — | $109.8k – $109.8k |
| 3 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $146.4k | $146.4k | — | — | — | $146.4k – $146.4k |
| 4 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $146.4k | $146.4k | — | — | — | $146.4k – $146.4k |
| 5 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $157.1k | $157.1k | — | — | — | $157.1k – $157.1k |
| 6 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $178.4k | $178.4k | — | — | — | $178.4k – $178.4k |
Last updated: Jan 1, 2026
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