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
ONC CLRCT 3 UR METAB ALG PLP
Kyle, TX
See all hospitals reporting CPT 0002U →Price type
Ascension Seton’s median price of $25 is 4% below the median hospital's median price ($26), higher than 6% of the 1,250 hospitals reporting CPT 0002U. 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, 21 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 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 2 | Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 3 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 4 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 5 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 6 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 7 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 8 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 9 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 10 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $25.50 | $25.50 | $25.50 – $25.50 |
| 11 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $25.50 | $25.50 | $25.50 – $25.50 |
| 12 | Humana 2668_humana hmo 20230701 other · outpatient | $41.25 | $41.25 | $41.25 – $41.25 |
| 13 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $45.00 | $45.00 | $45.00 – $45.00 |
| 14 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $45.00 | $45.00 | $45.00 – $45.00 |
| 15 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $47.50 | $47.50 | $47.50 – $47.50 |
| 16 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $52.33 | $52.33 | $52.33 – $52.33 |
| 17 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $52.33 | $52.33 | $52.33 – $52.33 |
| 18 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $96.50 | $96.50 | $96.50 – $96.50 |
| 19 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $96.50 | $96.50 | $96.50 – $96.50 |
| 20 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $106.50 | $106.50 | $106.50 – $106.50 |
| 21 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $117.75 | $117.75 | $117.75 – $117.75 |
Last updated: Jan 1, 2026
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