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
CUL TYP ID BLD PTHGN 6+ TRGT
Burnet, TX
See all hospitals reporting CPT 87154 →Price type
Ascension Seton’s median price of $183 is 22% below the median hospital's median price ($234), higher than 5% of the 1,994 hospitals reporting CPT 87154. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 27 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 781_humana mcr replacement (shl) 20161001 percent of total billed charges · outpatientfrom % of charges | $37 | $37 | $0 | 0% | — | $37 – $37 |
| 2 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 6 | Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 7 | Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 8 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 9 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 10 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 11 | Blue Cross Blue Shield 4173_blue cross chip (shl) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 12 | Blue Cross Blue Shield 4173_blue cross chip/star kids (shl) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 13 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 14 | Blue Cross Blue Shield 4224_chirp blue cross star (shl) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 15 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 16 | Blue Cross Blue Shield 5013_blue cross star kids (shl) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 17 | Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 18 | Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 19 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 20 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 21 | UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 22 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 23 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 24 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $842 | $842 | — | — | — | $842 – $842 |
| 25 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $842 | $842 | — | — | — | $842 – $842 |
Last updated: Jan 1, 2026
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