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
TYROSINEMIA TYP I MNTR QUAN
Kyle, TX
See all hospitals reporting CPT 0383U →Price type
Ascension Seton’s median price of $52 is 3% below the median hospital's median price ($54), higher than 8% of the 1,214 hospitals reporting CPT 0383U. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 4 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 8 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 9 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 10 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $53 | $53 | — | — | — | $53 – $53 |
| 11 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 12 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $94 | $94 | — | — | — | $94 – $94 |
| 13 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 14 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 15 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 16 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 17 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $464 | $464 | — | — | — | $464 – $464 |
| 18 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $514 | $514 | — | — | — | $514 – $514 |
Last updated: Jan 1, 2026
See Tyrosinemia type I blood spot monitoring test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.