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
NFCT DS BACT&FNG GRAM NEG
Kyle, TX
See all hospitals reporting CPT 0142U →Price type
Ascension Seton’s median price of $157 is 3% below the median hospital's median price ($161), higher than 10% of the 1,321 hospitals reporting CPT 0142U. 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, 18 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 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $66.67 | $66.67 | $66.67 – $66.67 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $135.45 | $135.45 | $135.45 – $135.45 |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $135.45 | $135.45 | $135.45 – $135.45 |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $149.48 | $149.48 | $149.48 – $149.48 |
| 5 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 6 | Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 7 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 8 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 9 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 10 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 11 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 12 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 13 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 14 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $159.88 | $159.88 | $159.88 – $159.88 |
| 15 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $159.88 | $159.88 | $159.88 – $159.88 |
| 16 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $165.27 | $165.27 | $165.27 – $165.27 |
| 17 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $282.15 | $282.15 | $282.15 – $282.15 |
| 18 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $282.15 | $282.15 | $282.15 – $282.15 |
Last updated: Jan 1, 2026
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