Middle ear optical coherence tomography imaging, both ears at Ascension Seton

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OCT MID EAR I&R BILATERAL

Kyle, TX

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How this price compares nationally

Ascension Seton’s median price of $38 is 15% below the median hospital's median price ($45), higher than 17% of the 1,029 hospitals reporting CPT 0486T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0486T at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 19 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	$33	$33	—	—	—	$33 – $33
2	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$38	$38	—	—	—	$38 – $38
3	Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient	$38	$38	—	—	—	$38 – $38
4	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$38	$38	—	—	—	$38 – $38
5	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$38	$38	—	—	—	$38 – $38
6	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$38	$38	—	—	—	$38 – $38
7	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$38	$38	—	—	—	$38 – $38
8	Tricare 4696_tricare inpatient 20251001 other · inpatient	$38	$38	—	—	—	$38 – $38
9	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$38	$38	—	—	—	$38 – $38
10	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$38	$38	—	—	—	$38 – $38
11	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$39	$39	—	—	—	$39 – $39
12	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$39	$39	—	—	—	$39 – $39
13	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$68	$68	—	—	—	$68 – $68
14	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$68	$68	—	—	—	$68 – $68
15	Humana 2668_humana hmo 20230701 other · outpatient	$77	$77	—	—	—	$77 – $77
16	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
17	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
18	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
19	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135

Last updated: Jan 1, 2026

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